Individual
CONRAD FREDERIC SCHOENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1119 E MONTE VISTA AVE, VACAVILLE, CA 95688-3009
(707) 469-4640
(707) 449-3919
Mailing address
1119 E MONTE VISTA AVE, VACAVILLE, CA 95688-3009
(707) 469-4640
(707) 449-3919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A11262
CA
207Q00000X
Family Medicine Physician
247534
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033374715
—
MO
Enumeration date
07/22/2008
Last updated
12/15/2021
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