Provider Demographics
NPI:1851401418
Name:SCHWARTZ, NORMAN (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 N PORT WASHINGTON RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FOX POINT
Mailing Address - State:WI
Mailing Address - Zip Code:53217-3133
Mailing Address - Country:US
Mailing Address - Phone:414-540-5980
Mailing Address - Fax:414-540-2416
Practice Address - Street 1:7950 N PORT WASHINGTON RD
Practice Address - Street 2:STE 100
Practice Address - City:FOX POINT
Practice Address - State:WI
Practice Address - Zip Code:53217-3133
Practice Address - Country:US
Practice Address - Phone:414-540-5980
Practice Address - Fax:414-540-2416
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20792207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30103700Medicaid
B56465Medicare UPIN