| Schwieters Medical Pllc | |
|
2781 Pilot Knob Rd Eagan MN 55121-1119 | |
| (651) 289-7300 | |
| (651) 289-7301 |
| Full Name | Schwieters Medical Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2781 Pilot Knob Rd, Eagan, Minnesota |
| Authorized Official Name and Position | Carol Schwieters (ASSISTANT) |
| Authorized Official Contact | 6512897300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schwieters Medical Pllc 2781 Pilot Knob Rd Eagan MN 55121-1119 Ph: (651) 289-7300 | Schwieters Medical Pllc 2781 Pilot Knob Rd Eagan MN 55121-1119 Ph: (651) 289-7300 |
| NPI Number | 1548486590 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 11/15/2011 |
| Medicare PECOS PAC ID | 5193824803 |
|---|---|
| Medicare Enrollment ID | O20070621000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548486590 | NPI | - | NPPES |
| 174922000 | Medicaid | MN | |
| 134D5SC | Other | MN | BCBS MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 48212 (Minnesota) | Primary |
| Provider Name | Bryan J Schwieters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841243631 PECOS PAC ID: 4183644255 Enrollment ID: I20051205000186 |
| Provider Name | Michael G Goedken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598227977 PECOS PAC ID: 0547595787 Enrollment ID: I20190711000044 |
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