Individual
TIMOTHY L SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 389-3555
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35286
WI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35286
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32029600
—
WI
Enumeration date
09/25/2006
Last updated
08/14/2009
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