MEDICARE: DANIEL SCHWARZE 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	207X00000X	Orthopaedic Surgery Physician	R9G33	MO

General Provider Information

NPI Number	:	1740262625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL SCHWARZE MD

Provider Business Mailing Address
First Line	:	2821 N BALLAS RD STE C15
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2300
Country	:	US
Telephone Number	:	314-983-0088
Fax Number	:	314-983-9650

Provider Business Practice Location Address
First Line	:	2821 N BALLAS RD
Second Line	:	SUITE C-15
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2321
Country	:	US
Telephone Number	:	314-983-0088
Fax Number	:	314-983-9650

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	12/09/2018

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