Healthcare Provider Details

I. General information

NPI: 1306843453
Provider Name (Legal Business Name): PATRICK SWIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 12/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 SAVANNAH RD
LEWES DE
19958-1623
US

IV. Provider business mailing address

1400 SAVANNAH RD
LEWES DE
19958-1623
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-7737
  • Fax: 302-645-1471
Mailing address:
  • Phone: 302-645-7737
  • Fax: 302-645-1471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberC10006154
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: