Provider Demographics
NPI:1023031119
Name:SCHMITZ, MIGUEL A (MD)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:A
Last Name:SCHMITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 E CENTRAL AVE
Mailing Address - Street 2:SUITE 365
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6291
Mailing Address - Country:US
Mailing Address - Phone:509-435-0973
Mailing Address - Fax:509-435-0978
Practice Address - Street 1:212 E CENTRAL AVE
Practice Address - Street 2:SUITE 365
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-6291
Practice Address - Country:US
Practice Address - Phone:509-435-0973
Practice Address - Fax:509-435-0978
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038062207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8511032Medicaid
WAG8887850Medicare PIN