Healthcare Provider Details

I. General information

NPI: 1700247921
Provider Name (Legal Business Name): ULRIKE SCHWARZE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2016
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST HSB, BOX 357655
SEATTLE WA
98195-7655
US

IV. Provider business mailing address

1959 NE PACIFIC ST HSB, BOX 357655
SEATTLE WA
98195-7655
US

V. Phone/Fax

Practice location:
  • Phone: 206-616-8565
  • Fax: 206-616-1899
Mailing address:
  • Phone: 206-616-8565
  • Fax: 206-616-1899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0203X
TaxonomyClinical Molecular Genetics Physician
License NumberTR60657399
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: