Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 5101014892 | MI |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 34.012429 | OH |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | DO05500 | IA |
NPI | 1114912995 |
---|---|
Provider Name | Neil Louis Schwimley |
First Address | Oskaloosa, IA 52577-4246 |
Second Address | Oskaloosa, IA 52577-4246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2005 |
Last Update Date | 04/06/2020 |