Individual
MR. GARY J SCHOENROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 225-5237
(907) 228-8496
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(907) 225-2255
(907) 228-8496
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD00025207
WA
208800000X
Urology Physician
Primary
MD2316
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD23162
—
AK
Enumeration date
09/26/2006
Last updated
03/03/2016
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