Provider Demographics
NPI:1003542655
Name:SCHWIETERS, PAIGE CATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:CATHERINE
Last Name:SCHWIETERS
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 1:600 TWELVE OAKS CENTER DR STE 640
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-4502
Mailing Address - Country:US
Mailing Address - Phone:952-378-1085
Mailing Address - Fax:
Practice Address - Street 1:600 TWELVE OAKS CENTER DR STE 640
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-4502
Practice Address - Country:US
Practice Address - Phone:952-378-1085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6797111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor