Organization
BRIAN W SWANTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN W SWANTON MD (OFFICER)
(616) 374-7660
Entity
Organization
Contact information
Practice address
4294 LAUREL DR, LAKE ODESSA, MI 48849-9423
(616) 374-7660
(616) 374-0270
Mailing address
4294 LAUREL DR, PO BOX 578, LAKE ODESSA, MI 48849-9423
(616) 374-7660
(616) 374-0270
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2817978
—
MI
Enumeration date
11/07/2007
Last updated
04/18/2011
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