Provider Demographics
NPI:1225233356
Name:SCHWINGER, ANGELA MAY (RDA AND LMT)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MAY
Last Name:SCHWINGER
Suffix:
Gender:F
Credentials:RDA AND LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:IA
Mailing Address - Zip Code:50250-3009
Mailing Address - Country:US
Mailing Address - Phone:515-371-0839
Mailing Address - Fax:
Practice Address - Street 1:102 NE 2ND ST.
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250
Practice Address - Country:US
Practice Address - Phone:515-371-0839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04130174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist