Healthcare Provider Details

I. General information

NPI: 1366422214
Provider Name (Legal Business Name): RACHEL L SCHUNEMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 CENTRACARE CIRCLE
ST CLOUD MN
56303
US

IV. Provider business mailing address

1900 CENTRACARE CIRCLE
ST CLOUD MN
56303
US

V. Phone/Fax

Practice location:
  • Phone: 320-229-4924
  • Fax: 320-763-7883
Mailing address:
  • Phone: 320-229-4924
  • Fax: 320-763-7883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number41527
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: