Individual
RODNEY O SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 W ICE LAKE RD, IRON RIVER, MI 49935-9526
(906) 265-6121
(906) 265-4245
Mailing address
1400 W ICE LAKE RD, IRON RIVER, MI 49935-9526
(906) 265-6121
(906) 265-4245
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-074809
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0607120001
CIGNA GROUP #
IL
05
—
1033119110
—
MI
01
—
1615125
BLUE SHIELD GROUP #
IL
Enumeration date
07/29/2005
Last updated
09/10/2013
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