Organization
RIVER CITY DERMATOLOGY PLLC
Active
Organization
RIVER CITY DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH N SWENEY (OWNER)
(616) 320-5450
Entity
Organization
Contact information
Practice address
6741 FULTON ST E, ADA, MI 49301-9502
(616) 320-5450
(616) 320-0165
Mailing address
6741 FULTON ST E, ADA, MI 49301-9502
(863) 605-7508
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
03/11/2024
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