Individual
MR. BRETT L SCHWABEDISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(636) 386-9224
(636) 386-7679
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA2024-0002
NM
367H00000X
Anesthesiologist Assistant
PENDING
MO
Other
Enumeration date
08/09/2024
Last updated
10/16/2024
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