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NPI Code Detail

MEDICARE: DR. ALEX MICHAEL SCHWAB

MEDICARE: DR. ALEX MICHAEL SCHWAB
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
11223G0001XGeneral Practice Dentistry7070-15WI

General Provider Information

NPI Number : 1811332109
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEX MICHAEL SCHWAB
Provider Business Mailing Address
First Line : 1714 N RANDALL AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53545-0900
Country : US
Telephone Number : 608-756-1229
Fax Number :
Provider Business Practice Location Address
First Line : 1714 N RANDALL AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53545-0900
Country : US
Telephone Number : 608-756-1229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2013
Last Update Date : 10/28/2014

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Directions to “ DR. ALEX MICHAEL SCHWAB ” Practice Location

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