Healthcare Provider Details

I. General information

NPI: 1033948831
Provider Name (Legal Business Name): ASHLEY LYN SCHWEIGER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66440 GRATIOT AVE
LENOX MI
48050-2032
US

IV. Provider business mailing address

PO BOX 187
RICHMOND MI
48062-0187
US

V. Phone/Fax

Practice location:
  • Phone: 586-727-5840
  • Fax: 586-727-5897
Mailing address:
  • Phone: 586-727-5840
  • Fax: 586-727-5897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number5601012578TMP24
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: