Individual
CARL GORDON SCHOWENGERDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
716 ADAIR AVE, ZANESVILLE, OH 43701-2836
(740) 454-5239
(740) 455-7693
Mailing address
716 ADAIR AVE, ZANESVILLE, OH 43701-2836
(740) 454-5239
(740) 455-7693
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35.025730
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349823
ANTHEM
OH
05
—
0223887
—
OH
Enumeration date
09/25/2006
Last updated
09/11/2008
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