Provider Demographics
NPI:1871960591
Name:SCHWALBACH, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SCHWALBACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 ARBOR AVE
Mailing Address - Street 2:
Mailing Address - City:MAHTOMEDI
Mailing Address - State:MN
Mailing Address - Zip Code:55115-1704
Mailing Address - Country:US
Mailing Address - Phone:651-230-1113
Mailing Address - Fax:
Practice Address - Street 1:929 ARBOR AVE
Practice Address - Street 2:
Practice Address - City:MAHTOMEDI
Practice Address - State:MN
Practice Address - Zip Code:55115-1704
Practice Address - Country:US
Practice Address - Phone:651-230-1113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula