Healthcare Provider Details

I. General information

NPI: 1033185863
Provider Name (Legal Business Name): ERIC SCHWETSCHENAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11135 MONTGOMERY RD
CINCINNATI OH
45249-2308
US

IV. Provider business mailing address

4600 WESLEY AVE STE N
CINCINNATI OH
45212-2274
US

V. Phone/Fax

Practice location:
  • Phone: 513-246-7000
  • Fax: 513-793-4928
Mailing address:
  • Phone: 513-246-7000
  • Fax: 513-246-7855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number35-079387
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: