institution
John M Swangim Dpm Pc
Foot & Ankle Surgery Podiatrist in La Porte, Indiana
NPI 1962722694

John M Swangim Dpm Pc is a Foot & Ankle Surgery Podiatrist based in La Porte, IN and is specialized in Foot & Ankle Surgery. John M Swangim Dpm Pc practices in La Porte, IN. The NPI Number for John M Swangim Dpm Pc is 1962722694 and holds a License No. 07000859A (Indiana).

The current practice location address for John M Swangim Dpm Pc is 1300 State St, La Porte, IN and can be reached out via phone at 219-324-8860 and via fax at 219-324-5671.

Location: 1300 State St, La Porte, IN, 46350-3185
institution
Provider Profile Details
NPI Number
1962722694
Provider Name
John M Swangim Dpm Pc
Credential
Provider Entity Type
Organization
Address
1300 State St, La Porte, IN, 46350-3185
Phone Number
219-324-8860
Fax Number
219-324-5671
Provider Enumeration Date
06/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M100019840 01 IN MEDICARE GROUP/ORGANIZATION PTAN
M400019841 01 IN MEDICARE GROUP MEMBER PTAN
1184672727 01 IN GROUP MEMBER NPI
200178550 05 IN
200992220A 01 IN GROUP/ORGANIZATION MEDICAID
institution
Provider Business Practice Location Address Details
Address
1300 State St
City
State
Zip
46350-3185
Phone Number
219-324-8860
Fax Number
219-324-5671
person
Provider Business Mailing Address Details
Address
1300 State St
City
State
Zip
46350-3185
Phone Number
219-324-8860
Fax Number
219-324-5671
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07000859A (Indiana)
Definition
Definition to come...
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