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Dr. Charles Edward Swallow, MD
Diagnostic Radiology Physician in Grand Rapids, Michigan
NPI 1497752448

Charles Edward Swallow is a Diagnostic Radiology Physician based in Grand Rapids, MI and is specialized in Diagnostic Radiology. Charles Edward Swallow practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Charles Edward Swallow is 1497752448 and holds a License No. 260525-1205 (Michigan).

The current practice location address for Charles Edward Swallow is 3264 N Evergreen Dr Ne, Grand Rapids, MI and can be reached out via phone at 616-363-7339 and via fax at 616-361-5828. You can also correspond with Charles Edward Swallow through the mailing address at 3264 N EVERGREEN DR NE, GRAND RAPIDS, MI - 49525-9746 (mailing address contact number: 616-363-7339).

Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
person
Provider Profile Details
NPI Number
1497752448
Provider Name
Charles Edward Swallow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
Provider Enumeration Date
07/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100505539 05 NV
924458 05 AZ
8127936 05 CA
120391600 05 WY
D1508 05 UT
P00651563 01 UT RR MEDICARE
003921900 05 ID
P00199656 01 UT RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
3264 N Evergreen Dr Ne
City
State
Zip
49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
person
Provider Business Mailing Address Details
Address
3264 N Evergreen Dr Ne
City
State
Zip
49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
260525-1205 (Utah)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
260525-1205 (Utah)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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