Swanton, Brian Willis

Swanton, Brian Willis is an individual health care provider with primary practice located at 4294 Laurel Dr , Lake Odessa MI 48849-9423. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Swanton, Brian Willis can be contacted via phone (616) 374-7660.

Contact Information

Primary practice address
4294 Laurel Dr Lake Odessa MI 48849-9423
Phone: (616) 374-7660
Fax: (616) 374-0270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301035130 Michigan

Profile Details

NPI number 1972612547
LBN Legal business name Swanton, Brian Willis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972612547 NPPES
Michigan MEDICAID 2817978
Michigan Other 382376508
Michigan Other 0348293
Michigan Other BS035130

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