Individual
MARY K SCHWANEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 421-7442
(715) 421-7408
Mailing address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 421-7442
(715) 421-7408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
97986
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43835200
—
WI
Enumeration date
08/28/2006
Last updated
04/07/2009
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