Individual
DR. BRIAN IVAN SHWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
564 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
(622) 349-7333
(662) 349-0550
Mailing address
564 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
(662) 470-5589
(662) 349-0550
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
80146
MS
213ES0131X
Foot Surgery Podiatrist
DPM458
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119449
—
MS
01
—
2740040
UNITED HEALTHCARE
TN
01
—
3021189
BCBS TN
TN
05
—
3352407
—
TN
01
—
5436037
AETNA
TN
Enumeration date
05/24/2005
Last updated
02/01/2021
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