Most Relevant Information
Provider Data
| NPI Number: | 1003269911 |
| Provider Name: | JOHN SWAN D.O |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 5101022858 |
Most Important Dates
| Enumeration Date: | 07/14/2016 |
| Last Updated: | 07/14/2016 |
Provider Practice Location
6245 INKSTER RD
GARDEN CITY
MI
481354001
Practice Location Phone/Fax
| Phone: | 7344588448 |
| Fax: |
Provider Mailing Location
6245 INKSTER RD
GARDEN CITY
MI
481354001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |