Organization
RICHARD S SCHWARTZ M D DERMATOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCHWARTZ M D (PRESIDENT)
(248) 625-1123
Entity
Organization
Contact information
Practice address
6770 DIXIE HWY, SUITE 304, CLARKSTON, MI 48346-2087
(248) 625-1123
Mailing address
6770 DIXIE HWY, SUITE 304, CLARKSTON, MI 48346-2087
(248) 625-1123
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
RS305677
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS305677
STATE LICENSE
MI
Enumeration date
05/29/2007
Last updated
11/09/2007
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