Provider Demographics
NPI:1437969540
Name:SCHWITEK, SHELDON GLENN
Entity type:Individual
Prefix:
First Name:SHELDON
Middle Name:GLENN
Last Name:SCHWITEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1738 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-3153
Mailing Address - Country:US
Mailing Address - Phone:269-330-2305
Mailing Address - Fax:
Practice Address - Street 1:1738 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-3153
Practice Address - Country:US
Practice Address - Phone:269-330-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage