Provider Demographics
NPI:1003824467
Name:NEUENSCHWANDER, JAMES ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:NEUENSCHWANDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3131 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5128
Mailing Address - Country:US
Mailing Address - Phone:734-995-3200
Mailing Address - Fax:734-995-4254
Practice Address - Street 1:3131 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5128
Practice Address - Country:US
Practice Address - Phone:734-995-3200
Practice Address - Fax:734-995-4254
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301050438207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIB48421Medicare UPIN