Katherine K. Schroeder P.A.
Medical Physician Assistant in Saint Louis Park, MN(View on Map)
Full Name
Katherine K Schroeder P.A.
NPI Number
1215267927
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/31/2009
Specialties
(Taxonomies)Name
Code
363AM0700X
364SP0809X
364SF0001X
364SH1100X
2084P0015X
Primary Taxonomy
Yes
No
No
No
No
Licenses
State
Minnesota
License Number
11282
Contact
Information
Purpose
Mailing
Location
Address
5821 CEDAR LAKE RD S STE 203
5821 CEDAR LAKE RD S STE 203
City
Saint Louis Park
Saint Louis Park
State
MN
MN
Postal Code
55416-1487
55416-1487
Country
US
US
Telephone Number
(612) 293-0352
(612) 293-0352
Identifiers
Identifier
11282
Identifier State
MN
Identifier Issuer
STATE LICENSE
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
Katey@stayspryhealth.com
Endpoint Description
Email
Use
Direct
Content Type
CSV
Affiliation
N
Endpoint Location
5821 Cedar Lake Rd S Ste 203Saint Louis Park, MN554161487US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/18/2023
Provider Address
Other Medical Physician Assistants in Saint Louis Park, Minnesota:
Allison Bell Potter PA-C
St Louis Park, MNSpecialties: Physician Assistant (Primary)Medical Physician Assistant