Individual
DONALD TIMOTHY SCHAUKOWITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
218 DE ANZA BLVD, SAN MATEO, CA 94402-3913
(650) 341-9131
(650) 341-9135
Mailing address
944 HENSLEY AVE, SAN BRUNO, CA 94066-3148
(650) 873-3323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
296293
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296293
CA BRN STATE LICENSE
CA
Enumeration date
03/19/2007
Last updated
07/08/2007
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