MEDICARE: MICHAEL JACOB SCHWARTZ MD

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	174400000X	Specialist	10943	OK

General Provider Information

NPI Number	:	1356345714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JACOB SCHWARTZ MD

Provider Business Mailing Address
First Line	:	4334 NW EXPRESSWAY ST
Second Line	:	SUITE 270
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1578
Country	:	US
Telephone Number	:	405-840-4433
Fax Number	:	405-840-5533

Provider Business Practice Location Address
First Line	:	4334 NW EXPRESSWAY 270
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1577
Country	:	US
Telephone Number	:	405-840-4433
Fax Number	:	405-840-5533

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	10/30/2007

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