Individual
DR. GERALD R SWIACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
667 THRUSH CT, MARCO ISLAND, FL 34145-1931
(239) 394-9285
Mailing address
667 THRUSH CT, MARCO ISLAND, FL 34145-1931
(239) 394-9285
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
006092
MI
208600000X
Surgery Physician
Primary
OS2716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351987
—
MI
Enumeration date
06/07/2006
Last updated
07/08/2007
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