Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35-079387 | OH |
NPI | 1033185863 |
---|---|
Provider Name | Dr. Eric Schwetschenau |
First Address | Cincinnati, OH 45212-2274 |
Second Address | Cincinnati, OH 45249-2308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 07/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040017069 | RR MEDICARE (01) | OH |
2253181 | (05) | OH |
H52946 | (02) | OH |