Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8320 | MD |
NPI | 1043244718 |
---|---|
Provider Name | Dr. Michael Kent Schwartz |
First Address | Cockeysville, MD 21030-2506 |
Second Address | Cockeysville, MD 21030-2506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T59907 | (02) | MD |