Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 01071549A | IN |
NPI | 1023272515 |
---|---|
Provider Name | Dr. Geoffrey Michael Schwartz |
First Address | Chesterton, IN 46304-8708 |
Second Address | Valparaiso, IN 46383-7136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2008 |
Last Update Date | 14/09/2020 |