Individual
MR. MICHAEL R SCHWARZENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 N PRICE ST, KINGWOOD, WV 26537-1120
(304) 329-3500
(304) 329-2088
Mailing address
110 N PRICE ST, KINGWOOD, WV 26537-1120
(304) 329-3500
(304) 329-2088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14978
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710244
BCBS GROUP
WV
01
—
001721175
BCBS
WV
05
—
0051964000
—
WV
01
—
WV14978
HEALTH PLAN
WV
Enumeration date
09/23/2005
Last updated
08/02/2011
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