Provider Demographics
NPI:1992241822
Name:SCHUELKE, MICHELLE KAY (RN, BSN, MBA)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:KAY
Last Name:SCHUELKE
Suffix:
Gender:M
Credentials:RN, BSN, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 311TH AVE
Mailing Address - Street 2:
Mailing Address - City:DAWSON
Mailing Address - State:MN
Mailing Address - Zip Code:56232-4216
Mailing Address - Country:US
Mailing Address - Phone:320-841-5702
Mailing Address - Fax:320-769-4602
Practice Address - Street 1:607 W MAIN ST
Practice Address - Street 2:SUITE #200
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-3169
Practice Address - Country:US
Practice Address - Phone:507-532-1275
Practice Address - Fax:507-537-6719
Is Sole Proprietor?:No
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 134995-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse