Individual
MARGARET SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
891 W MAIN ST, SUITE 200, DOVER FOXCROFT, ME 04426-1059
(207) 564-4464
(207) 564-4461
Mailing address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-4464
(207) 564-4461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-517
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP154001
PTAN
ME
01
—
P01258440
RR MEDICARE
—
Enumeration date
06/23/2006
Last updated
06/25/2014
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