Individual
CALVIN P SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
555 E BROADWAY AVE, SUITE 201, JACKSON, WY 83001-8640
(307) 733-7222
(307) 733-9720
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 733-2222
(307) 733-9720
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PT701
WY
Other
Enumeration date
09/09/2016
Last updated
09/28/2016
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