MEDICARE: DR. THOMAS CHARLES SCHMIDT DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2044	MN

General Provider Information

NPI Number	:	1447435763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS CHARLES SCHMIDT DC

Provider Business Mailing Address
First Line	:	8360 CITY CENTRE DR.
Second Line	:	SUITE 110
City	:	WOODBURY
State	:	MN
Zip	:	55125-3381
Country	:	US
Telephone Number	:	651-735-2400
Fax Number	:	651-735-2410

Provider Business Practice Location Address
First Line	:	8360 CITY CENTRE DR.
Second Line	:	SUITE 110
City	:	WOODBURY
State	:	MN
Zip	:	55125-3381
Country	:	US
Telephone Number	:	651-735-2400
Fax Number	:	651-735-2410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2008
Last Update Date	:	02/24/2020

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