Individual
MR. RYAN PATRICK SCHWIESOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
827 CENTRAL AVE, HAWARDEN, IA 51023
(712) 551-4242
(712) 551-4243
Mailing address
827 CENTRAL AVE, HAWARDEN, IA 51023
(712) 551-4242
(712) 551-4243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06247
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197889
—
IA
01
—
02757
BCBS
IA
01
—
7601240
SD MEDICAID
SD
Enumeration date
01/26/2006
Last updated
06/02/2011
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