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Individual

BRIAN LESTER SWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2856
(319) 356-8317
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2856
(319) 356-8317

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
23635
NE
207N00000X
Dermatology Physician
Primary
35180
IA
207N00000X
Dermatology Physician
43457
CO
207ND0900X
Dermatopathology Physician
23635
NE
207ND0900X
Dermatopathology Physician
35180
IA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
35180
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70433
WELLMARK BCBS
IA
01
70434
WELLMARK BCBS
IA
Enumeration date
05/25/2006
Last updated
05/07/2008
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