Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 125-051240 | IL |
Y | 207X00000X | Orthopaedic Surgeon | MD60411696 | WA |
N | 207X00000X | Orthopaedic Surgeon | ME111738 | FL |
NPI | 1003063165 |
---|---|
Provider Name | Daniel G Schwartz |
First Address | Seattle, WA 98104-1132 |
Second Address | Seattle, WA 98104-1132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2008 |
Last Update Date | 10/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
125-051240 | STATE OF ILLINOIS MEDICAL LICENSE (01) | IL |
5662674 | CIGNA (01) | FL |
9808855 | AETNA (01) | FL |
FS2981404 | DEA (01) |