Provider Demographics
NPI:1598702979
Name:ROBERT C SCHWYN MD PC
Entity Type:Organization
Organization Name:ROBERT C SCHWYN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHWYN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-593-0710
Mailing Address - Street 1:18181 OAKWOOD BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-5032
Mailing Address - Country:US
Mailing Address - Phone:313-593-0710
Mailing Address - Fax:313-593-3810
Practice Address - Street 1:18181 OAKWOOD BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-5032
Practice Address - Country:US
Practice Address - Phone:313-593-0710
Practice Address - Fax:313-593-3810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRS0348052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI130H232200OtherBC GROUP
MI130H232200OtherBCN
MI131045049OtherRAILROAD MEDICARE
MI1308218632OtherBCBC BCN
MI4626855OtherAETNA
MIA74109OtherHAP
MI3831OtherCAPE
MIB5030OtherMCARE
MI1094370Medicaid
MIDN2366OtherRAILROAD MEDICARE GROUP
MIB5030OtherMCARE
MI0P33550Medicare PIN