Organization
MID WISCONSIN EAR, NOSE & THROAT PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN RICHARD SWIFT M.D. (OWNER)
(715) 845-2423
Entity
Organization
Contact information
Practice address
2600 RIB MOUNTAIN DR, SUITE 200, WAUSAU, WI 54401-7196
(715) 845-2423
(715) 845-6768
Mailing address
2715 W FRANK ST, EAU CLAIRE, WI 54703-2593
(715) 832-0707
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
37345
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881631802
NPI
WI
Enumeration date
10/27/2009
Last updated
06/08/2011
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