Basic Information
| Provider Information | |||||||||
| NPI: | 1962492637 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHERRER | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | DIANE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 E 3RD ST | ||||||||
| Address2: | |||||||||
| City: | DULUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 558051951 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1702 UNIVERSITY DR S | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 58103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7013643300 | ||||||||
| FaxNumber: | 7013648906 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2005 | ||||||||
| LastUpdateDate: | 09/27/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP3000X | Q3791 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pediatric Anesthesiology | 2080P0203X | Q3791 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Critical Care Medicine | 2080P0203X | 46096 | MN | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Critical Care Medicine | 208000000X | PT16001 | ND | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 1034520 | 01 | PREFERRED ONE | OTHER | 46096 | 01 | MN | MD LICENSE | OTHER | HP38576 | 01 | HEALTH PARTNERS | OTHER | 010154428 | 01 | VA | VA LICENSE | OTHER | BS5466203 | 01 | WI | DEA | OTHER | 171365 | 01 | UCARE | OTHER | 1831278 | 01 | ARAZ GROUP AMERICAS PPO | OTHER | 375J1SC | 01 | BLUE CROSS BLUE SHIELD | OTHER | Q3791 | 01 | TX | TX LICENSE | OTHER | 1202502 | 01 | MEDICA HEALTH PLANS | OTHER | 600076200 | 01 | MEDICAL ASSISTANCE | OTHER |