Individual
JASON M SCHWALB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, K-11, DETROIT, MI 48202-2608
(313) 916-3598
(313) 916-7139
Mailing address
2799 W GRAND BLVD, K-11, DETROIT, MI 48202-2608
(313) 916-3598
(313) 916-7139
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01094410A
IN
207T00000X
Neurological Surgery Physician
235388
NY
207T00000X
Neurological Surgery Physician
Primary
4301093588
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02638246
—
NY
05
—
0263824610
—
MI
Enumeration date
05/23/2006
Last updated
07/22/2024
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