MEDICARE: MICHAEL A SCHWARTZMAN,DPM, LTD

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	332B00000X	Durable Medical Equipment & Medical Supplies	07000927A	IN

General Provider Information

NPI Number	:	1861660607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL A SCHWARTZMAN,DPM, LTD

Provider Business Mailing Address
First Line	:	1104 119TH ST
Second Line	:
City	:	WHITING
State	:	IN
Zip	:	46394-1515
Country	:	US
Telephone Number	:	219-659-3338
Fax Number	:	219-659-3668

Provider Business Practice Location Address
First Line	:	1104 119TH ST
Second Line	:
City	:	WHITING
State	:	IN
Zip	:	46394-1515
Country	:	US
Telephone Number	:	219-659-3338
Fax Number	:	219-659-3668

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL ALAN SCHWARTZMAN
Credential	:	DPM
Telephone Number	:	219-659-3338

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	02/14/2008

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