Provider Demographics
NPI:1699469379
Name:SCHMIDT SAZAMA, CARA MARIE (DC)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:MARIE
Last Name:SCHMIDT SAZAMA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3533 STERLING HEIGHTS DR
Mailing Address - Street 2:UNIT I
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022
Mailing Address - Country:US
Mailing Address - Phone:952-334-7284
Mailing Address - Fax:
Practice Address - Street 1:3533 STERLING HEIGHTS DR
Practice Address - Street 2:UNIT I
Practice Address - City:RIVER FALLS
Practice Address - State:WI
Practice Address - Zip Code:54022
Practice Address - Country:US
Practice Address - Phone:651-323-2152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7119111N00000X
WI6085-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor