Provider Demographics
NPI:1275756595
Name:DR KAREN SWISHER
Entity Type:Organization
Organization Name:DR KAREN SWISHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWISHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-414-5405
Mailing Address - Street 1:970 HICKORY HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-3125
Mailing Address - Country:US
Mailing Address - Phone:242-414-5405
Mailing Address - Fax:248-414-5407
Practice Address - Street 1:970 HICKORY HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-3125
Practice Address - Country:US
Practice Address - Phone:242-414-5405
Practice Address - Fax:248-414-5407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIKS001743213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTAX ID #