Individual
DR. JORDAN EDWARD SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 W OAKLAHOMA AVE., MILWAUKEE, WI 53215
(414) 550-6961
(313) 343-8747
Mailing address
2900 W OAKLAHOMA AVE., MILWAUKEE, WI 53215
(414) 550-6961
(313) 343-8747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101024176
MI
207RC0000X
Cardiovascular Disease Physician
Primary
8144121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101024176
MICHIGAN LIMITED EDUCATIONAL LICENSE
MI
01
—
8144121
WISCONSIN MEDICAL LICENSE
WI
Enumeration date
06/18/2018
Last updated
07/01/2024
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