Provider Demographics
NPI:1538168612
Name:SCHWYN, ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:SCHWYN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17000 HUBBARD DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-4258
Mailing Address - Country:US
Mailing Address - Phone:313-593-0710
Mailing Address - Fax:313-593-3810
Practice Address - Street 1:17000 HUBBARD DR
Practice Address - Street 2:SUITE 400
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-4258
Practice Address - Country:US
Practice Address - Phone:313-593-0710
Practice Address - Fax:313-593-3810
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIRS0348052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1308218632OtherBCBS
MI131045049OtherRAILROAD MEDICARE
MI1094370Medicaid
MI0P33550Medicare PIN
MI131045049OtherRAILROAD MEDICARE