Provider Demographics
NPI:1134194020
Name:SCHWEINBERGER, MONICA (DPM)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:SCHWEINBERGER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-1252
Mailing Address - Country:US
Mailing Address - Phone:206-409-3130
Mailing Address - Fax:
Practice Address - Street 1:2360 EAST PERSHING BLVD.
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001
Practice Address - Country:US
Practice Address - Phone:307-778-7558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO00000720213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist