Provider Demographics
NPI:1497920821
Name:SCHEURER, JOHANNAH M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHANNAH
Middle Name:M
Last Name:SCHEURER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4741 BLAISDELL AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-5504
Mailing Address - Country:US
Mailing Address - Phone:612-803-6560
Mailing Address - Fax:612-626-6601
Practice Address - Street 1:2450 RIVERSIDE AVENUE
Practice Address - Street 2:DIVISION OF NEONATOLOGY, EAST BUILDING, MB630
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-626-0644
Practice Address - Fax:612-624-8176
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-27
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN536452080N0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program