| Diane M Schlagel | |
|
29746 394th Pl Aitkin MN 56431-4446 | |
| (218) 927-3417 | |
| (218) 927-3417 |
| Full Name | Diane M Schlagel |
|---|---|
| Speciality | Psychologist |
| Location | 29746 394th Pl, Aitkin, Minnesota |
| Authorized Official Name and Position | Diane M Schlagel (OWNER) |
| Authorized Official Contact | 2189273417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane M Schlagel 29746 394th Pl Aitkin MN 56431-4446 Ph: (218) 927-3417 | Diane M Schlagel 29746 394th Pl Aitkin MN 56431-4446 Ph: (218) 927-3417 |
| NPI Number | 1356550693 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356550693 | NPI | - | NPPES |
| 117273 | Other | MN | UCARE |
| 62-05540 | Other | MN | MEDICA UBH |
| 56432SC | Other | MN | BCBS |
| 371752600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP1559 (Minnesota) | Primary |
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