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Individual

DR. LAWRENCE R SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3330
Mailing address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301036821
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301036821
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102878660
MI
05
102878679
MI
01
LS036821
BC/BS OF MICHIGAN
MI
Enumeration date
05/31/2006
Last updated
06/17/2010
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