Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 54249 | MN |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 54249 | MN |
NPI | 1063675825 |
---|---|
Provider Name | Dr. Daniel Scott Schneider |
First Address | Minneapolis, MN 55407-1321 |
Second Address | Saint Paul, MN 55108-5107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 10/11/2020 |