Doctor Name: | DAVID J SCHAETZKE |
NPI Number: | 1033176623 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LP |
License Number: | LP2020 |
Business Practice Address: | 1217 8th St N New Ulm, MN - 560731552 |
Business Phone Number: | 5072331000 |
Business Fax Number: | 5072331327 |
Mailing Address: | 2925 Chicago Ave, MINNEAPOLIS |
State: | MN |
Postal Code: | 554071321 |
Phone Number: | 6122624813 |
Fax Number: | 6122624194 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP2020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |