Healthcare Provider Details

I. General information

NPI: 1669494217
Provider Name (Legal Business Name): MITCHEL G SCHWINDT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 MARKET ST
DENVER CO
80202-2850
US

IV. Provider business mailing address

3225 MCLEOD DR STE 100
LAS VEGAS NV
89121-2257
US

V. Phone/Fax

Practice location:
  • Phone: 702-628-5236
  • Fax:
Mailing address:
  • Phone: 702-628-5236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD61140126
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberDR.0054315
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: