Individual
CARRIE SCHWEGMAN-NORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1656 CENTRAL ST W, BAGLEY, MN 56621-4357
(218) 694-6640
(218) 694-6380
Mailing address
408 LOMOND LOOP, BAGLEY, MN 56621-8153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6242
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104907799
—
MN
05
—
616055700
—
MN
01
—
6403732
MEDICA
MN
01
—
OS1L7SC
BCBS
MN
01
—
P00852247
RR MEDICARE
MN
Enumeration date
10/18/2006
Last updated
03/26/2015
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