Healthcare Provider Details
I. General information
NPI: 1801854245
Provider Name (Legal Business Name): MICHAEL NEIL SWARIN DO, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2050 S LINDEN RD
FLINT MI
48532-4161
US
IV. Provider business mailing address
2050 S LINDEN RD
FLINT MI
48532-4161
US
V. Phone/Fax
- Phone: 810-230-2121
- Fax: 810-230-2002
- Phone: 810-230-2121
- Fax: 810-230-2002
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | 5101006562 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: