Individual
MR. GERALD ROBERT SCHWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
1922 UNIVERSITY AVE, GREEN BAY, WI 54302-1880
(920) 432-0600
Mailing address
2949 LUMBER LN, GREEN BAY, WI 54313-5823
(920) 265-0412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
292-123
WI
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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