Individual
JESSE BRIAN SWANTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
TOLAN PARK MEDICAL BUILDING, 3901 WALTER P. CHRYSLER SERVICE DRIVE, DETROIT, MI 48201
(313) 577-7523
Mailing address
2114 CLAWSON AVE, ROYAL OAK, MI 48073-3795
(248) 217-0975
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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