Individual
SUZANNE MARIE SCHAUWECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
2023030915
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000065622
TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH RELATED BOARDS
TN
01
—
04-48071
KANSAS STATE BOARD OF HEALING ARTS
KS
01
—
2023030915
MISSOURI STATE BOARD OF REGISTRATION FOR THE HEALING ARTS
MO
Enumeration date
05/26/2016
Last updated
09/29/2023
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