Individual
GARY SWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(262) 785-2058
Mailing address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33333
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31845200
—
WI
Enumeration date
10/09/2006
Last updated
07/09/2007
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