Individual
DR. SHANE MICHAEL SWINK
Active
Individual
DR. SHANE MICHAEL SWINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
OS021872
PA
207NP0225X
Pediatric Dermatology Physician
Primary
OS021872
PA
207NP0225X
Pediatric Dermatology Physician
OT018645
PA
207R00000X
Internal Medicine Physician
OT018645
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035720120002
—
PA
Enumeration date
06/08/2018
Last updated
09/18/2023
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