Provider Demographics
NPI:1982769402
Name:SCHAAL, MICHAEL A (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:SCHAAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 XERXES AVE S STE 116
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1200
Mailing Address - Country:US
Mailing Address - Phone:952-888-2024
Mailing Address - Fax:952-888-3985
Practice Address - Street 1:7901 XERXES AVE S STE 116
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-1200
Practice Address - Country:US
Practice Address - Phone:952-888-2024
Practice Address - Fax:952-888-3985
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN23084208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN044802800Medicaid
MN044802800Medicaid
MN020000135Medicare ID - Type Unspecified