Provider Demographics
NPI:1578722419
Name:GOLDSCHMIDT, STEVEN B (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:B
Last Name:GOLDSCHMIDT
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:810 LILAC DR N
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4656
Mailing Address - Country:US
Mailing Address - Phone:952-426-4083
Mailing Address - Fax:952-426-4083
Practice Address - Street 1:810 LILAC DR N
Practice Address - Street 2:SUITE 103
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-4656
Practice Address - Country:US
Practice Address - Phone:952-426-4083
Practice Address - Fax:952-426-4083
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1646111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor