| Mr Thomas M Swedenborg, CRNA | |
|
562 1st Street, Manistee, MI 49660-1579 | |
| (231) 723-0114 | |
| Not Available |
| Full Name | Mr Thomas M Swedenborg |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 562 1st Street, Manistee, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104965029 | NPI | - | NPPES |
| 4929820 | Medicaid | MI | |
| 4704204485 | Other | MI | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704204485 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas M Swedenborg, CRNA 562 1st St, Manistee, MI 49660-1579 Ph: (231) 723-0114 | Mr Thomas M Swedenborg, CRNA 562 1st Street, Manistee, MI 49660-1579 Ph: (231) 723-0114 |
Dale M Dixon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1465 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1000 | |
Kathy M Dixon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1465 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1000 | |
Kenneth G Fisher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1465 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1000 | |
Jalie Mowry Lipa, NP-BC, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 50 Filer St Ste 210k, Manistee, MI 49660 Phone: 231-299-4450 |