Individual
MARY J SCHWANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
451 NORTH DUNLAP ST - MAIL STOP 32700A, HEALTHPARTNERS MIDWAY CLINIC, ST. PAUL, MN 55104-4621
(651) 647-2200
(651) 647-2075
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 647-2075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0659914
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371542600
—
MN
Enumeration date
02/03/2006
Last updated
12/15/2011
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