Healthcare Provider Details

I. General information

NPI: 1164493136
Provider Name (Legal Business Name): ANN M SCHWINK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 NORTH MAIN ST
STRONG ME
04983
US

IV. Provider business mailing address

177 NORTH MAIN ST
STRONG ME
04983
US

V. Phone/Fax

Practice location:
  • Phone: 207-684-4010
  • Fax: 207-684-3368
Mailing address:
  • Phone: 207-684-4010
  • Fax: 207-684-3368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1319
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number1319
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: