# JOHN M SWANGIM DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962722694
- **Authorized official:** DR. JOHN M SWANGIM DPM (PRESIDENT)
- **Authorized official phone:** (219) 324-8860

## Contact information

- **Practice address:** 1300 STATE ST, SUITE 1E, LA PORTE, IN 46350-3185
- **Practice address phone:** (219) 324-8860
- **Practice address fax:** (219) 324-5671
- **Mailing address:** 1300 STATE ST, SUITE 1E, LA PORTE, IN 46350-3185
- **Mailing address phone:** (219) 324-8860
- **Mailing address fax:** (219) 324-5671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 07000859A | IN | Yes |

## Other

- **Enumeration date:** 06/04/2010
- **Last updated:** 05/11/2011
