Healthcare Provider Details

I. General information

NPI: 1174637938
Provider Name (Legal Business Name): DAVID MATTHEW SCHWARTZENFELD D. O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 SOUTH BLVD E STE 1200
ROCHESTER HILLS MI
48307-5364
US

IV. Provider business mailing address

6825 ALLEN RD
ALLEN PARK MI
48101-2007
US

V. Phone/Fax

Practice location:
  • Phone: 248-705-6223
  • Fax:
Mailing address:
  • Phone: 313-294-2941
  • Fax: 313-294-0437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number5101014823
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101014823
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: