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NPI Code Detail

MEDICARE: THOMAS A. SCHWANN M.D.

MEDICARE: THOMAS A. SCHWANN M.D.
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician275133MA
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician4301073409MI

General Provider Information

NPI Number : 1134125727
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS A. SCHWANN M.D.
Provider Business Mailing Address
First Line : 26901 BEAUMONT BLVD STE 3D
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48033-3849
Country : US
Telephone Number : 947-522-1863
Fax Number :
Provider Business Practice Location Address
First Line : 3601 W 13 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6712
Country : US
Telephone Number : 248-898-3839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 09/21/2023

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