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Individual

DANIEL D SWIRIDUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
927 CARMEL ST, CADILLAC, MI 49601-2547
(231) 876-3876
(231) 775-1115
Mailing address
3799 MOMENTUM PLACE, CHICAGO, IL 60689-5337
(231) 935-6080
(231) 935-6081

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DS001752
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4084804
MI
01
480H310050
BLUE CROSS
Enumeration date
07/10/2006
Last updated
01/10/2019
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