MEDICARE: KAREN MARIE SWANSON 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	207R00000X	Internal Medicine Physician	KS045311	MI

General Provider Information

NPI Number	:	1972562031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MARIE SWANSON MD

Provider Business Mailing Address
First Line	:	26711 WOODWARD AVE
Second Line	:	STE 103
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1333
Country	:	US
Telephone Number	:	248-543-6000
Fax Number	:	248-543-3770

Provider Business Practice Location Address
First Line	:	26711 WOODWARD AVE
Second Line	:	STE 103
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1333
Country	:	US
Telephone Number	:	248-543-6000
Fax Number	:	248-543-3770

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

Provider Enumeration Date	:	03/18/2006
Last Update Date	:	07/08/2007

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