Individual
CHARLES SCHWIESOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
146 LAKE ST N, FOREST LAKE, MN 55025-2518
(651) 464-8502
Mailing address
7541 9TH ST N, OAKDALE, MN 55128-6626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8774
MN
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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