Healthcare Provider Details

I. General information

NPI: 1629113972
Provider Name (Legal Business Name): RICHARD A. SWITZER, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 03/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4166 56TH ST SW
WYOMING MI
49418-9352
US

IV. Provider business mailing address

4166 56TH ST SW
WYOMING MI
49418-9352
US

V. Phone/Fax

Practice location:
  • Phone: 616-531-6040
  • Fax: 616-226-6910
Mailing address:
  • Phone: 616-531-6040
  • Fax: 616-226-6910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RICHARD ALAN SWITZER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 616-531-6040