Most Relevant Information
Provider Data
| NPI Number: | 1003288366 |
| Provider Name: | STEPHANIE SWANK |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/27/2015 |
| Last Updated: | 10/27/2015 |
Provider Practice Location
7616 W CROMWELL RD
LIGONIER
IN
467679607
Practice Location Phone/Fax
| Phone: | 2602469200 |
| Fax: |
Provider Mailing Location
7616 W CROMWELL RD
LIGONIER
IN
467679607
Provider Mailing Phone/Fax
| Phone: | 2602469200 |
| Fax: |