Provider Demographics
NPI:1962478446
Name:SCHOW, DENISE A (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:A
Last Name:SCHOW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3251 N MCMULLEN BOOTH RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2022
Mailing Address - Country:US
Mailing Address - Phone:727-725-6110
Mailing Address - Fax:727-726-8450
Practice Address - Street 1:3251 N MCMULLEN BOOTH RD
Practice Address - Street 2:SUITE 303
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2022
Practice Address - Country:US
Practice Address - Phone:727-725-6110
Practice Address - Fax:727-726-8450
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2017-03-13
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Provider Licenses
StateLicense IDTaxonomies
MN35731207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN113725500Medicaid
MN113725500Medicaid