Basic Information
| Provider Information | |||||||||
| NPI: | 1942474341 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEVEN M SCHWIMMER, D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9875 S FRANKLIN DR | ||||||||
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| City: | FRANKLIN | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531328895 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4144852206 | ||||||||
| FaxNumber: | 4148582236 | ||||||||
| Practice Location | |||||||||
| Address1: | 3734 7TH AVE | ||||||||
| Address2: | SUITE 27 | ||||||||
| City: | KENOSHA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531405525 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2626542500 | ||||||||
| FaxNumber: | 2626542501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2008 | ||||||||
| LastUpdateDate: | 04/18/2008 | ||||||||
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| AuthorizedOfficialLastName: | MIARECKI | ||||||||
| AuthorizedOfficialFirstName: | NANCY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING COOR | ||||||||
| AuthorizedOfficialTelephone: | 6306556742 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 28193-021 | WI | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.