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Individual
JACK D SCHWINGHAMER
Active
Individual
JACK D SCHWINGHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33011
IA
207Q00000X
Family Medicine Physician
Primary
42746
MN
207Q00000X
Family Medicine Physician
RL-0256
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762698300
—
MN
Enumeration date
04/06/2006
Last updated
04/24/2014
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