Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 36413 | MN |
NPI | 1033115118 |
---|---|
Provider Name | Dr. Andrew H Schmidt |
First Address | Minneapolis, MN 55404-1210 |
Second Address | Minneapolis, MN 55404-1210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 01/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S58247 | (02) | MN |