Healthcare Provider Details

I. General information

NPI: 1437120870
Provider Name (Legal Business Name): DONALD LYNN SCHWENKER D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 S MAIN ST
MAQUOKETA IA
52060-3506
US

IV. Provider business mailing address

619 S MAIN ST
MAQUOKETA IA
52060-3506
US

V. Phone/Fax

Practice location:
  • Phone: 563-652-2700
  • Fax: 563-652-2800
Mailing address:
  • Phone: 563-652-2700
  • Fax: 563-652-2800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number06652
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: