Healthcare Provider Details

I. General information

NPI: 1447785332
Provider Name (Legal Business Name): PATRICK BEARD SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2017
Last Update Date: 05/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UW HOPSITALS AND CLINICS 600 HIGHLAND AVE.
MADISON WI
53792-0001
US

IV. Provider business mailing address

1425 STADIUM WAY APT 3105
INDIANAPOLIS IN
46202-2395
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-6400
  • Fax:
Mailing address:
  • Phone: 608-263-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number70982
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: