Individual
DR. BRAD B SWELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13580 GROUPE DR STE 105, WOODBRIDGE, VA 22192-4163
(703) 680-1770
(855) 402-1839
Mailing address
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD60680871
WA
207VE0102X
Reproductive Endocrinology Physician
0101265847
VA
207VE0102X
Reproductive Endocrinology Physician
Primary
A116519
CA
207VE0102X
Reproductive Endocrinology Physician
D0066846
MD
207VE0102X
Reproductive Endocrinology Physician
N0491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018471300
—
MD
Enumeration date
04/10/2008
Last updated
11/27/2018
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