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NPI Code Detail

MEDICARE: KELLY A SCHWEIGER P.A.-C

MEDICARE: KELLY A SCHWEIGER P.A.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601004058MI

General Provider Information

NPI Number : 1104828177
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY A SCHWEIGER P.A.-C
Provider Business Mailing Address
First Line : 15855 19 MILE RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-3504
Country : US
Telephone Number : 586-263-2300
Fax Number :
Provider Business Practice Location Address
First Line : 15855 19 MILE RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-3504
Country : US
Telephone Number : 586-263-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 03/30/2021

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