Provider Demographics
NPI:1144719287
Name:SCHWINN, ANDREW EVERETT (DO)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:EVERETT
Last Name:SCHWINN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:IHA HEALTH SERVICES CORPORATION
Mailing Address - Street 2:24 FRANK LLOYD WRIGHT DRIVE SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:IHA UROLOGY
Practice Address - Street 2:2305 GENOA BUSINESS PARK DRIVE SUITE 120
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114
Practice Address - Country:US
Practice Address - Phone:734-712-8100
Practice Address - Fax:734-887-8942
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2023-05-19
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
MI5101027302208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program