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Individual

DR. MARK W MCSWAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
161 GENESEE ST, SUITE 203, AUBURN, NY 13021-3451
(315) 255-0947
(315) 255-0942
Mailing address
161 GENESEE ST, SUITE 203, AUBURN, NY 13021-3451
(315) 255-0947
(315) 255-0942

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201382
NY
208000000X
Pediatrics Physician
Primary
201382
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02364565
NY
Enumeration date
08/29/2005
Last updated
02/27/2015
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