Provider Demographics
NPI:1215497409
Name:HEMMERICH, NATALIE STEBBINS
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:STEBBINS
Last Name:HEMMERICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:STEBBINS
Other - Last Name:SCHAITEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:233 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2331
Mailing Address - Country:US
Mailing Address - Phone:651-241-5200
Mailing Address - Fax:651-241-6427
Practice Address - Street 1:233 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2331
Practice Address - Country:US
Practice Address - Phone:651-241-5200
Practice Address - Fax:651-241-6427
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN70420207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine