Individual
MARY K SWIDERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024
(262) 329-1000
(262) 329-8001
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
(262) 329-8001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39251
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32352200
—
WI
01
—
P00452813
RR MEDICARE
WI
Enumeration date
07/07/2006
Last updated
03/15/2019
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