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NPI 1144719287

NPI 1144719287 : ANDREW EVERETT SCHWINN DO : BRIGHTON, MI

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General NPI Number Information
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    NPI Number           |    1144719287
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW EVERETT SCHWINN DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/03/2018
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    Last Update Date     |    05/19/2023
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Provider Practice Location Address
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    Address Line         |    IHA UROLOGY 2305 GENOA BUSINESS PARK DRIVE SUITE 120
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    City                 |    BRIGHTON
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    State                |    MI
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    Zip                  |    48114
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    Country              |    US
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    Telephone            |    734-712-8100
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    Fax                  |    734-887-8942
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Provider Business Mailing Address
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    Address Line         |    IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DRIVE SUITE J2000
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    City                 |    ANN ARBOR
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    State                |    MI
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    Zip                  |    48105
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    Country              |    US
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    Telephone            |    734-747-6766
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    Fax                  |    734-222-3100
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    5101027302
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    License Number State |    MI
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