Individual
DR. LEE SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4801 HIGHWAY 61 N STE 105, WHITE BEAR LAKE, MN 55110-2748
(651) 762-5433
(651) 762-7504
Mailing address
3494 SAVANNAH AVE, WHITE BEAR LAKE, MN 55110-4579
(651) 779-2291
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3712
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25156795
WAUSAU BENEFITS #
MN
01
—
52D99SC
BCBS PROVIDER NUMBER
MN
Enumeration date
01/26/2007
Last updated
07/08/2007
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