Schwaderer, Adam R

Schwaderer, Adam R is an individual health care provider with primary practice located at 4700 Schaefer Rd. , Dearborn MI 48126-3698. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Schwaderer, Adam R can be contacted via phone (313) 581-2600.

Contact Information

Primary practice address
4700 Schaefer Rd. Dearborn MI 48126-3698
Phone: (313) 581-2600
Fax: (313) 581-0228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302031382 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101016618 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101016618 Michigan

Profile Details

NPI number 1578686929
LBN Legal business name Schwaderer, Adam R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jan 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578686929 NPPES
Michigan Other P00944850 RRMC
Michigan MEDICAID 1578686929 RRMC

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