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Individual

ASHLEY SWAGERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
802 W KING ST STE G, OWOSSO, MI 48867-2100
(989) 725-8124
(989) 723-1205
Mailing address
802 W KING ST STE G, OWOSSO, MI 48867-2100
(989) 725-8124
(989) 723-1205

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010184
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932731775
MI
Enumeration date
02/10/2020
Last updated
09/12/2023
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