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1699883587

NPI Code Detail

MEDICARE: DR. CAROL HAGEN SCHOONOVER M.D.

MEDICARE: DR. CAROL HAGEN SCHOONOVER M.D.

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	207R00000X	Internal Medicine Physician	41907	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	852909	OTHER	MN	AMERICA'S PPO
2	HP29195	OTHER	MN	HEALTHPARTNERS
3	1020469	OTHER	MN	PREFERRED ONE
4	74D54HA	OTHER	MN	BCBS OF MN
5	0401180	OTHER	MN	MEDICA
6	123706	OTHER	MN	UCARE MN
7	7147018	OTHER	MN	AETNA INS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699883587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL HAGEN SCHOONOVER M.D.

Provider Business Mailing Address
First Line	:	6401 FRANCE AVE S
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-2199
Country	:	US
Telephone Number	:	952-924-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 FRANCE AVE S
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-2199
Country	:	US
Telephone Number	:	952-924-5000
Fax Number	:

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/19/2023

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Directions to “ DR. CAROL HAGEN SCHOONOVER M.D.” Practice Location

Language	Start Address	Practice Location

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