Doctor Name: | DR. THOMAS GERALD SCHWINGHAMER |
NPI Number: | 1437399763 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 19232 |
Business Practice Address: | 2232 Passi Rd Ely, MN - 557318166 |
Business Phone Number: | 5303057388 |
Business Fax Number: | 5308787806 |
Mailing Address: | 2232 Passi Road, ELY |
State: | MN |
Postal Code: | 55731 |
Phone Number: | 5303057388 |
Fax Number: | 5308787806 |
NPI Enumeration Date: | 02/26/2009 |
NPI Last Update Date: | 02/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 19232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |