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Individual

SHANNON J SCHWAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1575 LOOKOUT DR, NORTH MANKATO, MN 56003-2503
(507) 625-8111
(507) 625-6282
Mailing address
PO BOX 8674, MANKATO, MN 56002-8674
(507) 625-1811
(507) 625-4754

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40982
MN
207Q00000X
Family Medicine Physician
Q5925
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
350893901
TX
01
443579YMAF
MEDICARE ID
TX
Enumeration date
12/07/2005
Last updated
06/18/2026
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