Provider Demographics
NPI:1447220918
Name:SWARD, NICHOLAS E (MD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:E
Last Name:SWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:601 JOHN ST
Mailing Address - Street 2:SUITE M020
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-5341
Mailing Address - Country:US
Mailing Address - Phone:269-341-8282
Mailing Address - Fax:269-341-5258
Practice Address - Street 1:601 JOHN ST
Practice Address - Street 2:STE M020
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5341
Practice Address - Country:US
Practice Address - Phone:269-341-8282
Practice Address - Fax:269-341-5258
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301069674207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4194118Medicaid
MICA4396OtherRAILROAD MEDICARE
H03095Medicare UPIN
MI4194118Medicaid