Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301010986 | MI |
NPI | 1003490848 |
---|---|
Provider Name | Ryan Schwartz |
First Address | Bay City, MI 48706-3943 |
Second Address | Sebewaing, MI 48759-9569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2021 |
Last Update Date | 12/01/2022 |