Organization
WILLIAM SCHWARTAU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCHWARTAU M.D. (OWNER)
(218) 312-3005
Entity
Organization
Contact information
Practice address
1200 E 25TH ST, HIBBING, MN 55746-3897
(218) 312-3005
Mailing address
3868 ERICKSON RD, BARNUM, MN 55707-9790
(218) 310-3124
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25090
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087K3SC
BLUE CROSS BLUE SHIELD
MN
01
—
1602542
MEDICA
—
01
—
164023
UCARE
MN
05
—
397277100
—
MN
01
—
DQ0613
RAILROAD MEDICARE
MN
Enumeration date
01/19/2010
Last updated
05/04/2010
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