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Individual

DR. DOWZELL MEDFORD SWAYNGIM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
703 TYLER ST, SUITE 251, SANDUSKY, OH 44870-3367
(419) 625-0599
(419) 625-3704
Mailing address
703 TYLER ST, STE 351, SANDUSKY, OH 44870-3391
(419) 621-7620
(419) 621-7623

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
041426
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0349840
OH
01
341328997011
MEDICAL MUTUAL OF OHIO
OH
01
3700343
UNITED HEALTHCARE
OH
Enumeration date
12/28/2005
Last updated
01/29/2020
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