Healthcare Provider Details
I. General information
NPI: 1770561383
Provider Name (Legal Business Name): ERIC SCHWIGER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 23RD ST
CUYAHOGA FALLS OH
44223-1404
US
IV. Provider business mailing address
650 GRAHAM RD 101
CUYAHOGA FALLS OH
44221-1052
US
V. Phone/Fax
- Phone: 330-971-7436
- Fax: 330-971-7344
- Phone: 330-923-5899
- Fax: 330-923-8090
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 34006551 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: