Individual
DR. JORDAN EDWARD SWISHER
Active
Individual
DR. JORDAN EDWARD SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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