Individual
MICHAEL D SWEETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4530 E MUIRWOOD DR STE 110, PHOENIX, AZ 85048-7693
(480) 763-5808
Mailing address
5946 W KESLER LN, CHANDLER, AZ 85226-4488
(480) 363-3987
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059873
NATIONAL CERTIFICATION
AZ
01
—
2901
STATE LICENSE
AZ
Enumeration date
04/25/2007
Last updated
03/07/2023
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