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Individual
BRYAN K SWILLEY
Active
Individual
BRYAN K SWILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101010362
MI
208D00000X
General Practice Physician
Primary
BS010362
MI
261QM2800X
Methadone Clinic
5101010362
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001401
CAPE HEALTH PLAN
MI
01
—
0856308604
BCBS
MI
05
—
114402195
—
MI
01
—
132616
CARE CHOICES
MI
Enumeration date
08/01/2006
Last updated
08/27/2026
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