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Individual
DR. GREGORY CLARK SWISTAK
Active
Individual
DR. GREGORY CLARK SWISTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10435522
CAQH
MD
01
—
1ST HEALTH
P3449828
MD
01
—
224657
KAISER/ACN
MD
01
—
3638973
AETNA HMO
MD
01
—
606996-02189B
BCBS
MD
01
—
624464
MAMSI
MD
01
—
7662053
AETNA PPO
MD
01
—
J9770001
BCBS
DC
Enumeration date
10/26/2006
Last updated
07/08/2007
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