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Individual

DR. JOHN M SWANGIM

Active
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Individual

DR. JOHN M SWANGIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000859
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093446
ANTHEM
IN
01
—
000000105251
ANTHEM BC/BS
IN
01
—
000000248196
BCBS PIN #
IN
01
—
10760823
CAQH #
IN
05
—
200178550
—
IN
01
—
91115450
BCBS IL PIN #
IL
Enumeration date
05/05/2006
Last updated
03/11/2023
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