Organization
PHILIP S SCHAUWEKER D.P.M. PROFESSIONAL PODIATRIC MEDICINE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP S SCHAUWEKER DPM (OWNER)
(562) 491-0505
Entity
Organization
Contact information
Practice address
1043 ELM AVE STE 407, LONG BEACH, CA 90813-3206
(562) 491-0505
Mailing address
1043 ELM AVE STE 407, LONG BEACH, CA 90813-3206
(562) 491-0505
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E39110
—
CA
Enumeration date
03/27/2019
Last updated
01/07/2020
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