Individual
DR. MIRIAM GISELA VILLANUEVA SCHWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18699 N 67TH AVE, SUITE 240, GLENDALE, AZ 85308-7140
(623) 594-7337
(623) 564-7340
Mailing address
18699 N 67TH AVE, GLENDALE, AZ 85308-7140
(623) 594-7337
(623) 594-7340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34314
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
964438
AHHCCCS
AZ
Enumeration date
08/21/2006
Last updated
11/06/2012
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