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NPI Code Detail

MEDICARE: DR. MARGARET ELIZABETH SWENOR D.O.

MEDICARE: DR. MARGARET ELIZABETH SWENOR D.O.
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
1207Q00000XFamily Medicine Physician5101015886MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10852410274OTHERMIINDIVIDUAL BLUE CROSS
2080A610030OTHERMIGROUP BLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891711305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARET ELIZABETH SWENOR D.O.
Provider Business Mailing Address
First Line : 1961 S TELEGRAPH RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0246
Country : US
Telephone Number : 248-319-6210
Fax Number :
Provider Business Practice Location Address
First Line : 1961 S TELEGRAPH RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0246
Country : US
Telephone Number : 248-319-6210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 03/08/2021

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