| Larry M Schanus Pa | |
|
21370 John Milless Dr Rogers MN 55374-4621 | |
| (612) 910-8391 | |
| Not Available |
| Full Name | Larry M Schanus Pa |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 21370 John Milless Dr, Rogers, Minnesota |
| Authorized Official Name and Position | Larry Marvin Schanus (PSYCHOLOGIST) |
| Authorized Official Contact | 6129108391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry M Schanus Pa 2841 Ardmore Ave Maple Plain MN 55359-9342 Ph: (612) 910-8391 | Larry M Schanus Pa 21370 John Milless Dr Rogers MN 55374-4621 Ph: (612) 910-8391 |
| NPI Number | 1619075058 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619075058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP 4459 (Minnesota) | Primary |
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