Provider Demographics
NPI:1063473726
Name:SCHWEITZER, MICHAEL ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ARTHUR
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IA
Mailing Address - Zip Code:52151-9709
Mailing Address - Country:US
Mailing Address - Phone:563-535-3065
Mailing Address - Fax:
Practice Address - Street 1:459 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IA
Practice Address - Zip Code:52151-9709
Practice Address - Country:US
Practice Address - Phone:563-538-4204
Practice Address - Fax:563-538-4280
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA43028OtherBLUE CROSS AND BLUE SHIEL
IA43028OtherBLUE CROSS AND BLUE SHIEL