Individual
DR. KORINNE MARIE SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1179 WHITEHALL RD, STE. B, MUSKEGON, MI 49445-2497
(231) 744-3573
Mailing address
3359 MEMORIAL DR, MUSKEGON, MI 49445-2129
(231) 744-1394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806648
—
MI
01
—
900F165250
BLUE CROSS & BLUE SHIELD
MI
Enumeration date
10/20/2005
Last updated
03/12/2014
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