Provider Demographics
NPI:1497745152
Name:SCHMIDT, CHRISTIAN P (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:P
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-2735
Mailing Address - Country:US
Mailing Address - Phone:320-252-5131
Mailing Address - Fax:320-240-2118
Practice Address - Street 1:1200 6TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-2735
Practice Address - Country:US
Practice Address - Phone:320-252-5131
Practice Address - Fax:320-240-2118
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31802208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
57D74SCOtherBLUE CROSS BLUE SHIELD
123162OtherU-CARE
1017572OtherPREFERRED ONE
2116679OtherFIRST HEALTH PLAN
1712734OtherMEDICA HEALTH PLANS
HP23474OtherHEALTH PARTNERS
123770500OtherMEDICAL ASSISTANCE
798173OtherARAZ GRP/AMERICA'S PPO
798173OtherARAZ GRP/AMERICA'S PPO
123162OtherU-CARE