Individual
TOR A. SHWAYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 3031 WEST GRAND BLVD., DETROIT, MI 48202
(313) 916-2454
Mailing address
HENRY FORD HEALTH SYSTEM, 3031 WEST GRAND BLVD., DETROIT, MI 48202
(313) 916-2454
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
044480
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TS044480
CHAMPUS-CHAMPUS
—
Enumeration date
11/02/2006
Last updated
07/08/2007
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