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Individual

DR. WILLIAM A SCHWANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
165 NATCHEZ TRACE AVE, SUITE 100, BOWLING GREEN, KY 42103-7940
(270) 782-7800
(270) 843-0779
Mailing address
165 NATCHEZ TRACE AVE, SUITE 100, BOWLING GREEN, KY 42103-7940
(270) 782-7800
(270) 843-0779

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18796
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000573948
ANTHEM
KY
01
163580300
DEPARTMENT OF LABOR
KY
05
64187966
KY
Enumeration date
01/06/2006
Last updated
01/05/2011
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