Provider Demographics
NPI:1912054404
Name:SCHWARZ, MANFRED LUDWIG (DO)
Entity Type:Individual
Prefix:DR
First Name:MANFRED
Middle Name:LUDWIG
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 E MOORE RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-9346
Mailing Address - Country:US
Mailing Address - Phone:989-777-4878
Mailing Address - Fax:
Practice Address - Street 1:1629 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-1211
Practice Address - Country:US
Practice Address - Phone:989-757-0867
Practice Address - Fax:989-757-1597
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010089872083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH26832Medicare UPIN