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NPI Code Detail

MEDICARE: DR. STEPHEN N SWADE DO

MEDICARE: DR. STEPHEN N SWADE DO
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
1207P00000XEmergency Medicine Physician5151015278APP21MI
2207P00000XEmergency Medicine Physician34.016286OH

General Provider Information

NPI Number : 1174190227
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN N SWADE DO
Provider Business Mailing Address
First Line : 950 W WOOSTER ST
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2603
Country : US
Telephone Number : 419-354-8900
Fax Number :
Provider Business Practice Location Address
First Line : 950 W WOOSTER ST
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2603
Country : US
Telephone Number : 419-354-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2021
Last Update Date : 02/12/2026

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