Provider Demographics
NPI:1093880601
Name:SCHWAB, MICHAEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1844 SAN MIGUEL DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4962
Mailing Address - Country:US
Mailing Address - Phone:925-930-7744
Mailing Address - Fax:925-930-7747
Practice Address - Street 1:1844 SAN MIGUEL DR
Practice Address - Street 2:SUITE 110
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4962
Practice Address - Country:US
Practice Address - Phone:925-930-7744
Practice Address - Fax:925-930-7747
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG362022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G362020Medicare ID - Type UnspecifiedMEDICARE