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NPI Code Detail

MEDICARE: MATTHEW ERIC SCHWARTZ DPT

MEDICARE: MATTHEW ERIC SCHWARTZ DPT
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
1225100000XPhysical Therapist5501017565MI

General Provider Information

NPI Number : 1851860480
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW ERIC SCHWARTZ DPT
Provider Business Mailing Address
First Line : 38200 SCHOENHERR RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48312-1700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 38200 SCHOENHERR RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48312-1700
Country : US
Telephone Number : 586-274-9044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2018
Last Update Date : 11/13/2018

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