Provider Demographics
NPI:1588718191
Name:SCHRAMM, STEVEN L (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:SCHRAMM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4535 HODGSON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-1949
Mailing Address - Country:US
Mailing Address - Phone:651-287-8700
Mailing Address - Fax:651-287-8701
Practice Address - Street 1:4535 HODGSON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-1949
Practice Address - Country:US
Practice Address - Phone:651-287-8700
Practice Address - Fax:651-287-8701
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN4127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350002467Medicare PIN
MNU87066Medicare UPIN