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NPI Code Detail

MEDICARE: LAURA A SCHWINDT MD

MEDICARE:   LAURA A SCHWINDT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician015467ME

General Provider Information

NPI Number : 1336299247
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA A SCHWINDT MD
Provider Business Mailing Address
First Line : 39 WALLACE AVE
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-6143
Country : US
Telephone Number : 207-761-0650
Fax Number : 207-761-8198
Provider Business Practice Location Address
First Line : 75 JOHN ROBERTS RD BLDG B
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-6914
Country : US
Telephone Number : 207-775-4151
Fax Number : 207-775-6950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

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Directions to “ LAURA A SCHWINDT MD” Practice Location

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