| Brian W Swanton Md Pc | |
|
4294 Laurel Dr Lake Odessa MI 48849-9423 | |
| (616) 374-7660 | |
| (616) 374-0270 |
| Full Name | Brian W Swanton Md Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 4294 Laurel Dr, Lake Odessa, Michigan |
| Authorized Official Name and Position | Brian W Swanton (OFFICER) |
| Authorized Official Contact | 6163747660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian W Swanton Md Pc 4294 Laurel Dr Po Box 578 Lake Odessa MI 48849-9423 Ph: (616) 374-7660 | Brian W Swanton Md Pc 4294 Laurel Dr Lake Odessa MI 48849-9423 Ph: (616) 374-7660 |
| NPI Number | 1770763773 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 04/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770763773 | NPI | - | NPPES |
| 2817978 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4294 Laurel Dr, Lake Odessa, MI 48849 Phone: 616-374-7660 | |
Clarence Richard Barnett Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1020 4th Ave, Lake Odessa, MI 48849 Phone: 616-374-8881 Fax: 616-374-4220 | |
Laurie S Braker Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4294 Laurel Dr, Lake Odessa, MI 48849 Phone: 616-374-7660 Fax: 616-374-0270 | |
Corewell Health Pennock Hospital Family Medicine - Lake Odessa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4294 Laurel Dr, Lake Odessa, MI 48849 Phone: 616-374-7660 Fax: 616-374-0270 |