Provider Demographics
NPI:1720244379
Name:SCHWARTZ, STEVEN M (MED)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3184 LANSING RD
Mailing Address - Street 2:
Mailing Address - City:ROSCOMMON
Mailing Address - State:MI
Mailing Address - Zip Code:48653-8561
Mailing Address - Country:US
Mailing Address - Phone:989-821-9023
Mailing Address - Fax:989-732-6763
Practice Address - Street 1:1165 ELKVIEW DR
Practice Address - Street 2:SUITE #3
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-2055
Practice Address - Country:US
Practice Address - Phone:989-732-6761
Practice Address - Fax:989-732-6763
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)