Provider Demographics
NPI:1285201319
Name:SWARTZ, JOSHUA (MA, RD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:MA, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 GARFIELD RD N
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-5178
Mailing Address - Country:US
Mailing Address - Phone:231-252-3810
Mailing Address - Fax:
Practice Address - Street 1:2325 GARFIELD RD N
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-5178
Practice Address - Country:US
Practice Address - Phone:231-252-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered