MEDICARE: DAVID MATTHEW SCHWARTZENFELD D. O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	5101014823	MI
2	207Q00000X	Family Medicine Physician	5101014823	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080F340140	OTHER	MI	BCBS OF MICHIGAN

General Provider Information

NPI Number	:	1174637938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MATTHEW SCHWARTZENFELD D. O.

Provider Business Mailing Address
First Line	:	6825 ALLEN RD
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-2007
Country	:	US
Telephone Number	:	313-294-2941
Fax Number	:	313-294-0437

Provider Business Practice Location Address
First Line	:	633 SOUTH BLVD E STE 1200
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5364
Country	:	US
Telephone Number	:	248-705-6223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/14/2021

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