Individual
JASON JAMES SWANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 FULTON ST E, GRAND RAPIDS, MI 49503-3849
(616) 742-0351
Mailing address
2478 HARDING AVE, MUSKEGON, MI 49441-1248
(616) 387-0469
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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