Individual
DR. BAILEY SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617-3044
(574) 251-1200
Mailing address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01093195A
IN
Other
Enumeration date
04/07/2021
Last updated
07/19/2024
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