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Individual

JASON J SCHWENGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1049
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14297
NDBS #
ND
01
16Y72SC
MNBS #
ND
05
50442
ND
01
6401674
MEDICA #
ND
01
6402311
MEDICA #
ND
01
77D47SC
MNBS #
MN
01
77D48SC
MNBS #
MN
05
833010700
ND
01
974514
AMERICA'S PPO/ARAZ #
ND
01
DA9011015523
PREFERRED ONE #
ND
01
HP25709
HEALTHPARTNERS #
ND
01
ND200099
LHS #
ND
Enumeration date
07/11/2006
Last updated
07/19/2012
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