Brian Willis Swanton in Lake Odessa - General Practice
Brian Willis Swanton - NPI 1972612547
Brian Willis Swanton is a General Practice in Lake Odessa, Michigan. Brian Willis Swanton practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brian Willis Swanton is 1972612547. The last update date is 2007-07-08.
Brian Willis Swanton's current location address is 4294 Laurel Dr, Lake Odessa, Michigan. You can contact this provider via phone number 6163747660 and fax number 6163740270. The mailing address for Brian Willis Swanton is 4294 Laurel Dr, Lake Odessa, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Willis Swanton |
|---|---|
| Address | 4294 Laurel Dr, Lake Odessa, Michigan |
| Phone Number | 6163747660 |
| Fax Number | 6163740270 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972612547 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4294 Laurel Dr |
|---|---|
| City | Lake Odessa |
| State | Michigan (MI) |
| Post Code | 488499423 |
| Phone Number | 6163747660 |
| Fax Number | 6163740270 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 4301035130 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2817978 | MI | -- | |
| 382376508 | MI | TAX IDENTIFICATION | |
| 348293 | MI | BLUE CROSS BLUE SHIELD MI | |
| BS035130 | MI | STATE LICENSE MI |
Post Comment/ Review Below
What is the unique identifier code issued to Brian Willis Swanton by the Centers for Medicare & Medicaid Services (CMS)?
The Brian Willis Swanton has been assigned the NPI (National Provider Identifier) 1972612547. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Brian Willis Swanton is physically located?
The Brian Willis Swanton is physically situated at the following address: 4294 Laurel Dr, Lake Odessa, MI, 488499423.
What is the area of specialization for Brian Willis Swanton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian Willis Swanton is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
When did Brian Willis Swanton receive its 1972612547 assignment?
The Brian Willis Swanton was assigned its 1972612547 on 2006-08-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Brian Willis Swanton last refreshed?
The information related to the Brian Willis Swanton, including its address, specialty, and other relevant details, was last updated on 2007-07-08.