Individual
MONICA SCHWOMEYER
Active
Individual
MONICA SCHWOMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA179151
OR
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-585669
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500716790
—
OR
01
—
PA179151
MEDICAL LICENSE
OR
Enumeration date
10/25/2016
Last updated
01/10/2023
Update your record
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