Healthcare Provider Details

I. General information

NPI: 1851401418
Provider Name (Legal Business Name): NORMAN SCHWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 N PORT WASHINGTON RD STE 100
FOX POINT WI
53217-3133
US

IV. Provider business mailing address

7950 N PORT WASHINGTON RD STE 100
FOX POINT WI
53217-3133
US

V. Phone/Fax

Practice location:
  • Phone: 414-540-5980
  • Fax: 414-540-2416
Mailing address:
  • Phone: 414-540-5980
  • Fax: 414-540-2416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20792
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: