Healthcare Provider Details

I. General information

NPI: 1346561610
Provider Name (Legal Business Name): MARGARET SCHWIESOW D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 LOISDALE CT
SPRINGFIELD VA
22150-1826
US

IV. Provider business mailing address

6501 LOISDALE CT
SPRINGFIELD VA
22150-1826
US

V. Phone/Fax

Practice location:
  • Phone: 703-922-1313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0102204406
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: