Provider Demographics
NPI:1619174364
Name:SCHWERTE, ANDREAS (OMD, LAC)
Entity Type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:
Last Name:SCHWERTE
Suffix:
Gender:M
Credentials:OMD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 PINE ST
Mailing Address - Street 2:STE. 505
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-3206
Mailing Address - Country:US
Mailing Address - Phone:415-434-1530
Mailing Address - Fax:415-751-2610
Practice Address - Street 1:332 PINE ST
Practice Address - Street 2:STE. 505
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3206
Practice Address - Country:US
Practice Address - Phone:415-434-1530
Practice Address - Fax:415-751-2610
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 7983171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist