Basic Information
| Provider Information | |||||||||
| NPI: | 1578502688 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWARTZ | ||||||||
| FirstName: | CINDY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9000 W WISCONSIN AVENUE | ||||||||
| Address2: | PEDIATRIC HEMATOLOGY AND ONCOLOGY | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532264874 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4149554170 | ||||||||
| FaxNumber: | 4149556543 | ||||||||
| Practice Location | |||||||||
| Address1: | 9000 W WISCONSIN AVENUE | ||||||||
| Address2: | PEDIATRIC HEMATOLOGY AND ONCOLOGY | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532264874 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4149554170 | ||||||||
| FaxNumber: | 4149556543 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 44360 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0207X | 11815 | RI | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology | 2080P0207X | 67411 | WI | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology |
ID Information
| ID | Type | State | Issuer | Description | 330787801 | 05 | TX | MEDICAID | 8EA139 | 01 | TX | BCBS | OTHER | 1578502688 | 05 | WI | MEDICAID |