MEDICARE: DR. CARL WILLY SCHWENZFEIER 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
1	207Y00000X	Otolaryngology Physician	08647	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568469435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL WILLY SCHWENZFEIER M.D.

Provider Business Mailing Address
First Line	:	497 SAINT ANDREWS BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7184
Country	:	US
Telephone Number	:	843-763-0543
Fax Number	:

Provider Business Practice Location Address
First Line	:	497 SAINT ANDREWS BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7184
Country	:	US
Telephone Number	:	843-763-0543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	07/14/2008

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