Individual
DR. PHILIP SCHWENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1444 EXECUTIVE BLVD, JASPER, IN 47546-9300
(812) 481-2121
Mailing address
1834 W DIVISION RD, JASPER, IN 47546-8932
(812) 482-6980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011146A
IN
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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