Provider Demographics
NPI:1881682805
Name:SCHWAAB, AARON T (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:T
Last Name:SCHWAAB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6310 MOURNING DOVE DR
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-9018
Mailing Address - Country:US
Mailing Address - Phone:608-873-6611
Mailing Address - Fax:608-873-2255
Practice Address - Street 1:900 RIDGE ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:WI
Practice Address - Zip Code:53589-1864
Practice Address - Country:US
Practice Address - Phone:608-873-6611
Practice Address - Fax:608-873-2255
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2023-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036106456208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036106456Medicaid
ILH72365Medicare UPIN
ILH72365Medicare UPIN