| Doctor Name: | MR. DUANE GEORGE SCHAEFER |
| NPI Number: | 1144244047 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BCCR, LADC |
| License Number: | 301293 |
| Business Practice Address: | 550 Osborne Rd Ne Fridley, MN - 554322718 |
| Business Phone Number: | 7632364506 |
| Business Fax Number: | |
| Mailing Address: | 8730 Loch Lomond Blvd, BROOKLYN PARK |
| State: | MN |
| Postal Code: | 554433912 |
| Phone Number: | 7634583863 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 301293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |