Individual
NILES DAVID SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
(260) 436-8585
Mailing address
PO BOX 2526, FORT WAYNE, IN 46801-2526
(260) 436-8686
(260) 436-8585
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01056026A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01056026A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000476928
ANTHEM
—
05
—
200839910A
—
IN
Enumeration date
05/05/2006
Last updated
11/07/2016
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