MEDICARE: DR. ROBERT MARTIN SCHWAGER M.D.

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	207Y00000X	Otolaryngology Physician	21270	CO

General Provider Information

NPI Number	:	1700936945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MARTIN SCHWAGER M.D.

Provider Business Mailing Address
First Line	:	1550 S POTOMAC ST
Second Line	:	SUITE 175
City	:	AURORA
State	:	CO
Zip	:	80012-5455
Country	:	US
Telephone Number	:	303-915-7773
Fax Number	:

Provider Business Practice Location Address
First Line	:	8502 E LAYTON AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-2925
Country	:	US
Telephone Number	:	303-915-7773
Fax Number	:

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	01/21/2011

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