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NPI Code Detail

MEDICARE: DR. GARY J SCHWARTZ DC

MEDICARE: DR. GARY J SCHWARTZ DC
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
1111N00000XChiropractor02127MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10C85010OTHERMIBCBS

General Provider Information

NPI Number : 1326249624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY J SCHWARTZ DC
Provider Business Mailing Address
First Line : 1306 EAST MICHIGAN
Second Line :
City : JACKSON
State : MI
Zip : 49201
Country : US
Telephone Number : 517-782-1522
Fax Number :
Provider Business Practice Location Address
First Line : 1306 EAST MICHIGAN
Second Line :
City : JACKSON
State : MI
Zip : 49201-1841
Country : US
Telephone Number : 517-782-1522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2007
Last Update Date : 07/08/2007

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Directions to “ DR. GARY J SCHWARTZ DC” Practice Location

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