Individual
DR. JONATHAN M SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, 3RD FLOOR TAUBMAN CENTER RECP B, ANN ARBOR, MI 48109-5352
(734) 936-5582
Mailing address
3621 S STATE ST., 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11106A
WY
207R00000X
Internal Medicine Physician
Primary
4301073836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444873910
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
JS073836
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
01/23/2020
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