Provider Demographics
NPI:1669448403
Name:SWIFT, ROBERT D (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:SWIFT
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:27207 LAHSER RD
Mailing Address - Street 2:STE 108
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-8470
Mailing Address - Country:US
Mailing Address - Phone:248-792-4100
Mailing Address - Fax:248-792-4110
Practice Address - Street 1:27207 LAHSER RD
Practice Address - Street 2:STE 108
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8470
Practice Address - Country:US
Practice Address - Phone:248-792-4100
Practice Address - Fax:248-792-4110
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2020-08-06
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Provider Licenses
StateLicense IDTaxonomies
TNDO0000001649207X00000X
GA043790207X00000X
NY266664207X00000X
MI5101019062207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty