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NPI Code Detail

MEDICARE: SWE ZIN MAR WINHTUT OO M.D.

MEDICARE:   SWE ZIN MAR WINHTUT  OO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMT207780PA
2207RN0300XNephrology PhysicianMT207780IA
3207RN0300XNephrology Physician35.138450OH

General Provider Information

NPI Number : 1396136875
Entity Type Code : Individual
Provider Name (Legal Business Name) : SWE ZIN MAR WINHTUT OO M.D.
Provider Business Mailing Address
First Line : 7700 WASHINGTON VILLAGE DR STE 220
Second Line :
City : DAYTON
State : OH
Zip : 45459-4094
Country : US
Telephone Number : 937-438-0902
Fax Number : 937-438-0099
Provider Business Practice Location Address
First Line : 7700 WASHINGTON VILLAGE DR STE 230
Second Line :
City : DAYTON
State : OH
Zip : 45459-4094
Country : US
Telephone Number : 937-438-0099
Fax Number : 937-438-8707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2015
Last Update Date : 04/12/2022

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Directions to “ SWE ZIN MAR WINHTUT OO M.D.” Practice Location

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