Provider Demographics
NPI:1558632810
Name:SWAMINATHAN, ROBIN SARJEANT (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:SARJEANT
Last Name:SWAMINATHAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 FLAGSTONE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-4662
Mailing Address - Country:US
Mailing Address - Phone:608-320-1716
Mailing Address - Fax:
Practice Address - Street 1:8201 MAYO DR
Practice Address - Street 2:SUITE 109
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-4337
Practice Address - Country:US
Practice Address - Phone:608-320-1716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4804-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor