Provider Demographics
NPI:1003490848
Name:SCHWARTZ, RYAN (DC, BS)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3943
Mailing Address - Country:US
Mailing Address - Phone:989-245-7145
Mailing Address - Fax:
Practice Address - Street 1:8844 UNIONVILLE RD
Practice Address - Street 2:
Practice Address - City:SEBEWAING
Practice Address - State:MI
Practice Address - Zip Code:48759-9569
Practice Address - Country:US
Practice Address - Phone:989-770-3909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor