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Individual

DR. RICHARD T. SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3950 HOLLYWOOD RD, SUITE 280, SAINT JOSEPH, MI 49085-9159
(269) 408-0990
(269) 408-0993
Mailing address
6416 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 471-7741
(279) 471-1581

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301086372
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538397120
GROUP NPI
MI
01
MI2051
GROUP MEDICARE#
MI
Enumeration date
07/18/2006
Last updated
02/10/2012
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