Individual
KIMBERLY SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058
Mailing address
319 SKYLINE DR, PETOSKEY, MI 49770-8650
(231) 373-8781
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704231703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104594450
—
MI
Enumeration date
05/01/2006
Last updated
12/18/2014
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