Individual
MARCUS A SCHWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-1000
(260) 482-4442
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002074A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047840065
MEDICARE PTAN
IN
Enumeration date
05/27/2016
Last updated
04/18/2024
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