Provider Demographics
NPI:1851311039
Name:SCHAMBER, CASSANDRA DEE (MD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:DEE
Last Name:SCHAMBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2820 PIEDMONT AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-3727
Mailing Address - Country:US
Mailing Address - Phone:218-727-8787
Mailing Address - Fax:218-727-1709
Practice Address - Street 1:2820 PIEDMONT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-3727
Practice Address - Country:US
Practice Address - Phone:218-727-8787
Practice Address - Fax:218-727-1709
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN37231207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN596419Medicare UPIN