Individual
MINATI D SWOFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 JACKSON ST, STE 118, ANDERSON, IN 46016-4386
(765) 683-3160
(765) 646-8367
Mailing address
2101 JACKSON ST, STE 118, ANDERSON, IN 46016-4386
(765) 683-3160
(765) 646-8367
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01042478A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100475600
—
IN
Enumeration date
10/04/2005
Last updated
05/18/2015
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