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Individual
TIMOTHY W SWAIN III
Active
Individual
TIMOTHY W SWAIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01084422A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036-117825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117825
—
IL
Enumeration date
08/03/2006
Last updated
08/24/2023
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