Provider Demographics
NPI:1629113972
Name:RICHARD A. SWITZER, M.D., P.C.
Entity Type:Organization
Organization Name:RICHARD A. SWITZER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-531-6040
Mailing Address - Street 1:4166 56TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49418-9352
Mailing Address - Country:US
Mailing Address - Phone:616-531-6040
Mailing Address - Fax:616-226-6910
Practice Address - Street 1:4166 56TH ST SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49418-9352
Practice Address - Country:US
Practice Address - Phone:616-531-6040
Practice Address - Fax:616-226-6910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2741216Medicaid
MI0D11953OtherBLUE CROSS BLUE SHIELD
MI0D11953OtherBLUE CROSS BLUE SHIELD
MI1104114291OtherBCBS