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Individual

ANDREW EDWARD SCHWENTKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
190 CAMPUS BLVD, SUITE 200, WINCHESTER, VA 22601-2872
(540) 662-6135
(540) 662-5845
Mailing address
190 CAMPUS BLVD, SUITE 200, WINCHESTER, VA 22601-2872
(540) 662-6135
(540) 662-5845

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101059037
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000875693
WV BLUE SHIELD GROUP
01
001717443
WV BLUE SHIELD
05
005844631
VA
01
02004700000
QUAL CHOICE PROFESSIONAL
01
2119651
MAMSI PROFESSIONAL
01
216523
ANTHEM PROFESSIONAL
01
28556
SENTARA PROFESSIONAL
01
3810003817
WV MEDICAID GROUP
WV
05
6001112000
WV
01
C00085
VA MEDICARE B GROUP
Enumeration date
04/06/2006
Last updated
03/20/2021
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