Individual
SWATI DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 EAST HURON RIVER DRIVE, YPSILANTI, MI 48197-0995
(734) 712-3595
(734) 712-5344
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
073251
MI
2085R0001X
Radiation Oncology Physician
Primary
35.134831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4668311
—
MI
Enumeration date
07/15/2006
Last updated
10/29/2024
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