Doctor Name: | DR. TED H SCHWARTZENFELD |
NPI Number: | 1124007539 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 5101006332 |
Business Practice Address: | 27483 Dequindre Rd Ste 201 Madison Heights, MI - 480715711 |
Business Phone Number: | 2485410100 |
Business Fax Number: | 2483993960 |
Mailing Address: | 27483 Dequindre Rd Ste 201, MADISON HEIGHTS |
State: | MI |
Postal Code: | 480715711 |
Phone Number: | 2485410100 |
Fax Number: | 2483993960 |
NPI Enumeration Date: | 01/13/2006 |
NPI Last Update Date: | 09/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 5101006332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |