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Individual

MICHAEL W SCHWARTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
853 NE A ST, GRANTS PASS, OR 97526-2211
(541) 474-2788
(541) 474-0516
Mailing address
853 NE A ST, GRANTS PASS, OR 97526-2211
(541) 474-2788
(541) 474-0516

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1458AT
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217935
OR
Enumeration date
07/12/2005
Last updated
03/10/2008
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