Individual
ADDISON SCHWALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5611
Mailing address
327 S UNION ST APT 214, KOKOMO, IN 46901-6062
(815) 757-7364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003183A
IN
Other
Enumeration date
03/24/2020
Last updated
09/19/2023
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