Individual
MRS. MARYELIZABETH HARRIET SCHWIETERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-4880
(509) 624-1184
(509) 625-1449
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(509) 850-7026
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 10003780
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8401440
—
WA
Enumeration date
12/22/2005
Last updated
07/24/2024
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