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NPI Code Detail

MEDICARE: DR. MICHAEL WALTER SCHWARTZ D.C.

MEDICARE: DR. MICHAEL WALTER SCHWARTZ D.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
1111N00000XChiropractor4799MN

General Provider Information

NPI Number : 1376584656
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL WALTER SCHWARTZ D.C.
Provider Business Mailing Address
First Line : 1865 W WAYZATA BLVD
Second Line : STE 200
City : LONG LAKE
State : MN
Zip : 55356-4100
Country : US
Telephone Number : 952-473-3588
Fax Number :
Provider Business Practice Location Address
First Line : 1865 W WAYZATA BLVD
Second Line : STE 200
City : LONG LAKE
State : MN
Zip : 55356-4100
Country : US
Telephone Number : 952-473-3588
Fax Number : 952-697-0752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 08/22/2024

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