Individual
ANDREW MARK SCHWAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9517 CHAD DR NW, BEMIDJI, MN 56601-9032
(218) 410-0155
Mailing address
9517 CHAD DR NW, BEMIDJI, MN 56601-9032
(218) 410-0155
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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