Provider Demographics
NPI:1487653572
Name:SCHWARTZ, ALLAN M (DO)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:M
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7446 PEPPER CRK
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-1072
Mailing Address - Country:US
Mailing Address - Phone:248-669-0885
Mailing Address - Fax:248-669-8957
Practice Address - Street 1:2520 S TELEGRAPH RD
Practice Address - Street 2:STE 101
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0285
Practice Address - Country:US
Practice Address - Phone:248-745-5600
Practice Address - Fax:248-745-8839
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2007-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIAS005953207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M82770002Medicare PIN