Mark Robert Swanson MD

NPI 1154312460 - Specialist - 174400000X

NPI Details
NPI 1154312460
Gender Male
Enumeration Date 11/04/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1416 E MOREHEAD ST
SUITE 201
CHARLOTTE NC, 28204-2926, US
Phone (704) 333-0741
Fax (704) 333-3356
Business Location
1416 E MOREHEAD ST
SUITE 201
CHARLOTTE NC, 28204-2926, US
Phone (704) 333-0741
Fax (704) 333-3356
Toxanomy
Taxonomy Code 174400000X
License State North Carolina
License Number 22844
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According to our database, Dr. Mark Robert Swanson MD NPI is 1154312460, taxonomy code is 174400000X and license number is 22844, license state is located at North Carolina. Mark Robert Swanson MD physically located at 1416 E Morehead St, Charlotte NC, 28204-2926. NPI Number Mark Robert Swanson MD has the Individual type.

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1154312460 NPI number is provided on an as is basis without warranty of any kind. 1154312460 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Robert Swanson MD are for informational purposes only.