Individual
ANDREW EDWARD SCHWENTKER
Active
Individual
ANDREW EDWARD SCHWENTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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