Provider Demographics
NPI:1770580771
Name:SCHMINKE, DANIEL W (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:W
Last Name:SCHMINKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:740 PARKER AVE W
Mailing Address - Street 2:PO BOX 708
Mailing Address - City:DASSEL
Mailing Address - State:MN
Mailing Address - Zip Code:55325-1024
Mailing Address - Country:US
Mailing Address - Phone:320-275-4330
Mailing Address - Fax:320-275-4390
Practice Address - Street 1:101 WILLMAR AVE SW
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3556
Practice Address - Country:US
Practice Address - Phone:320-231-5000
Practice Address - Fax:320-214-6747
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2023-03-14
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Provider Licenses
StateLicense IDTaxonomies
MN29972207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D75413Medicare UPIN