Individual
TERESA SWANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
410 W 10TH AVE, N839 DOAN HALL, COLUMBUS, OH 43210-1240
(614) 293-4509
Mailing address
6212 RISING SUN DR, GROVE CITY, OH 43123-8882
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002266
OH
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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