Provider Demographics
NPI:1164493136
Name:SCHWINK, ANN M (DO)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:SCHWINK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 NORTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STRONG
Mailing Address - State:ME
Mailing Address - Zip Code:04983
Mailing Address - Country:US
Mailing Address - Phone:207-684-4010
Mailing Address - Fax:207-684-3368
Practice Address - Street 1:177 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:STRONG
Practice Address - State:ME
Practice Address - Zip Code:04983
Practice Address - Country:US
Practice Address - Phone:207-684-4010
Practice Address - Fax:207-684-3368
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1319207Q00000X, 2083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME240440099Medicaid
ME240440099Medicaid
E55809Medicare UPIN