Individual provider · Type 1 NPI

Shanna Marie Zwick, PA

Surgical Physician Assistant · St. Louis, MO

NPI number 1124361605 Active

Practice location

1044 N Mason Rd, Div Surg Colon/rectal, Ste 310
St. Louis, MO 63141-6431

Fax (888) 425-7946

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2022023073 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1124361605

Shanna Marie Zwick, PA's National Provider Identifier is 1124361605, issued on Apr 2, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.