Individual
DR. COREY SHAWN SCHOENEWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9912 E 21ST ST, TULSA, OK 74129-1620
(918) 622-0641
(918) 622-4814
Mailing address
9912 E 21ST ST, TULSA, OK 74129-1620
(918) 622-0641
(918) 622-4814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3785
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113790A
—
OK
01
—
1275528085
HEALTH CHOICE
OK
Enumeration date
04/04/2006
Last updated
06/24/2014
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