Organization
WILLIAM A. SCHWANK, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLIE MOSLEY (AR MANAGER)
(270) 782-3103
Entity
Organization
Contact information
Practice address
1890 LYDA AVE STE 101, BOWLING GREEN, KY 42104-5829
(270) 782-3103
Mailing address
1890 LYDA AVE, BOWLING GREEN, KY 42104-5829
(270) 782-3103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18796
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0411
ANTHEM
KY
05
—
64187966
—
KY
Enumeration date
06/29/2007
Last updated
08/22/2020
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