Provider Demographics
NPI:1801877824
Name:SCHUTTER, THOMAS CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CHARLES
Last Name:SCHUTTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 N 3RD AVE E
Mailing Address - Street 2:
Mailing Address - City:TRUMAN
Mailing Address - State:MN
Mailing Address - Zip Code:56088-1115
Mailing Address - Country:US
Mailing Address - Phone:507-776-2332
Mailing Address - Fax:507-776-6089
Practice Address - Street 1:412 N 3RD AVE E
Practice Address - Street 2:
Practice Address - City:TRUMAN
Practice Address - State:MN
Practice Address - Zip Code:56088-1115
Practice Address - Country:US
Practice Address - Phone:507-776-2332
Practice Address - Fax:507-776-6089
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN42504SCOtherBCBS
MN230777OtherMEDICA
MN935027600Medicaid
MN935027600Medicaid