Michael Robert Schake M.A. LP

NPI 1679750228 - Psychologist - 103T00000X

NPI Details
NPI 1679750228
Gender Male
Enumeration Date 01/25/2008
Last Updated 09/13/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
120 LABREE AVE SOUTH
THIEF RIVER FALLS MN, 56701-2819, US
Phone (218) 681-4240
Fax (651) 645-3534
Business Location
120 LABREE AVE SOUTH
THIEF RIVER FALLS MN, 56701-2819, US
Phone (218) 681-4240
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Minnesota
License Number LP0847
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According to our database, Michael Robert Schake M.A. LP NPI is 1679750228, taxonomy code is 103T00000X and license number is LP0847, license state is located at Minnesota. Michael Robert Schake M.A. LP physically located at 120 Labree Ave South, Thief River Falls MN, 56701-2819. NPI Number Michael Robert Schake M.A. LP has the Individual type.

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1679750228 NPI number is provided on an as is basis without warranty of any kind. 1679750228 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Robert Schake M.A. LP are for informational purposes only.