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1184618928

NPI Code Detail

MEDICARE: DR. SUSAN MARIE SWAYNE MD

MEDICARE: DR. SUSAN MARIE SWAYNE MD

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
1	208000000X	Pediatrics Physician	DR.0054627	CO
2	2080P0006X	Developmental - Behavioral Pediatrics Physician	DR.0054627	CO
3	2080P0006X	Developmental - Behavioral Pediatrics Physician	112698	MT
4	208000000X	Pediatrics Physician	112698	MT

General Provider Information

NPI Number	:	1184618928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN MARIE SWAYNE MD

Provider Business Mailing Address
First Line	:	216 14TH AVE SW
Second Line	:
City	:	SIDNEY
State	:	MT
Zip	:	59270-3519
Country	:	US
Telephone Number	:	406-488-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 14TH AVE SW
Second Line	:
City	:	SIDNEY
State	:	MT
Zip	:	59270-3519
Country	:	US
Telephone Number	:	406-488-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	07/15/2025

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Directions to “ DR. SUSAN MARIE SWAYNE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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