Provider Demographics
NPI:1962492637
Name:SCHERRER, PATRICIA DIANE (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DIANE
Last Name:SCHERRER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 2ND ST S
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-1917
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 2ND ST S
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-1917
Practice Address - Country:US
Practice Address - Phone:320-281-3339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3791207LP3000X, 2080P0203X
NDPT16001208000000X
MN46096208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN46096OtherMD LICENSE
1202502OtherMEDICA HEALTH PLANS
600076200OtherMEDICAL ASSISTANCE
375J1SCOtherBLUE CROSS BLUE SHIELD
VA010154428OtherVA LICENSE
171365OtherUCARE
1034520OtherPREFERRED ONE
1831278OtherARAZ GROUP AMERICAS PPO
TXQ3791OtherTX LICENSE
HP38576OtherHEALTH PARTNERS
600076200OtherMEDICAL ASSISTANCE
MN46096OtherMD LICENSE
HP38576OtherHEALTH PARTNERS