Provider Demographics
NPI:1992385686
Name:SCHWARCZ, BRIANNA (DO)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:
Last Name:SCHWARCZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 N MAIN ST APT 312
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-4110
Mailing Address - Country:US
Mailing Address - Phone:248-464-1428
Mailing Address - Fax:
Practice Address - Street 1:26850 PROVIDENCE PKWY STE 505
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1267
Practice Address - Country:US
Practice Address - Phone:248-465-4163
Practice Address - Fax:248-465-4359
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101027762207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1992385686OtherNPI
MI1992385686OtherNPI