Basic Information
| Provider Information | |||||||||
| NPI: | 1003146218 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEVEN SCHWIMMER, DO SC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 PARKER CT | ||||||||
| Address2: | SUITE 4 | ||||||||
| City: | CHARDON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440241141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4402790599 | ||||||||
| FaxNumber: | 4402790593 | ||||||||
| Practice Location | |||||||||
| Address1: | 5455 SHERIDAN RD | ||||||||
| Address2: | 201 | ||||||||
| City: | KENOSHA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531403734 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2626542500 | ||||||||
| FaxNumber: | 2526542701 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2010 | ||||||||
| LastUpdateDate: | 12/30/2013 | ||||||||
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| AuthorizedOfficialLastName: | SCHWIMMER | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2626542500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 28193021 | WI | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.