Organization
MIKE SWANN, MD, LLC
Active
Other names
Swann Dermatology & Esthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H. SWANN M.D. (OWNER)
(417) 888-0858
Entity
Organization
Contact information
Practice address
3850 S NATIONAL AVE, SUITE 705, SPRINGFIELD, MO 65807-5287
(417) 888-0858
(417) 889-0476
Mailing address
3850 S NATIONAL AVE, SUITE 705, SPRINGFIELD, MO 65807-5287
(417) 888-0858
(417) 889-0476
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
2007005538
MO
291U00000X
Clinical Medical Laboratory
26D2031359
MO
Other
Enumeration date
09/16/2009
Last updated
04/03/2015
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