Individual
DR. BRENT WAYNE SCHWARM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 W TAYLOR ST, VANDALIA, IL 62471-1227
(618) 283-1231
Mailing address
650 W TAYLOR ST, VANDALIA, IL 62471-1227
(618) 283-1231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036086476
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086476
—
IL
Enumeration date
06/14/2005
Last updated
04/29/2014
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