MEDICARE: DR KAREN SWISHER

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	213E00000X	Podiatrist	KS001743	MI

General Provider Information

NPI Number	:	1275756595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR KAREN SWISHER

Provider Business Mailing Address
First Line	:	970 HICKORY HEIGHTS DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-3125
Country	:	US
Telephone Number	:	242-414-5405
Fax Number	:	248-414-5407

Provider Business Practice Location Address
First Line	:	970 HICKORY HEIGHTS DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-3125
Country	:	US
Telephone Number	:	242-414-5405
Fax Number	:	248-414-5407

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. KAREN SWISHER
Credential	:	D.P.M.
Telephone Number	:	248-414-5405

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	08/22/2020

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