Most Relevant Information
Provider Data
| NPI Number: | 1003104639 |
| Provider Name: | MICHAEL ALEXANDER SYWAK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/18/2011 |
| Last Updated: | 05/26/2022 |
Provider Practice Location
406 N WHITNEY AVE STE 5
COOKEVILLE
TN
385014243
Practice Location Phone/Fax
| Phone: | 9317834269 |
| Fax: | 9313720401 |
Provider Mailing Location
140 W 7TH ST
COOKEVILLE
TN
385011726
Provider Mailing Phone/Fax
| Phone: | 9317835582 |
| Fax: | 9315266760 |