Healthcare Provider Details

I. General information

NPI: 1225220296
Provider Name (Legal Business Name): JAMES W SWEENEY DO PC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 04/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13355 E 10 MILE RD SUITE 200
WARREN MI
48089-2048
US

IV. Provider business mailing address

13355 E TEN MILE RD SUITE 200
WARREN MI
48089
US

V. Phone/Fax

Practice location:
  • Phone: 586-757-2800
  • Fax: 586-757-3942
Mailing address:
  • Phone: 586-757-2800
  • Fax: 586-757-3942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES W SWEENEY
Title or Position: PRESIDENT OWNER
Credential: D.O.
Phone: 586-757-2800