Provider Demographics
NPI:1033948831
Name:SCHWEIGER, ASHLEY LYN (PA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYN
Last Name:SCHWEIGER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7161 PALMS RD
Mailing Address - Street 2:
Mailing Address - City:IRA
Mailing Address - State:MI
Mailing Address - Zip Code:48023-2628
Mailing Address - Country:US
Mailing Address - Phone:810-580-7195
Mailing Address - Fax:
Practice Address - Street 1:20761 HALL RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-4231
Practice Address - Country:US
Practice Address - Phone:586-267-5168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601012578TMP24363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant