Provider Demographics
NPI:1821162900
Name:SWEDBERG, STEVEN H (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:H
Last Name:SWEDBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:21827 76TH AVE W
Mailing Address - Street 2:STE 102
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7981
Mailing Address - Country:US
Mailing Address - Phone:425-778-2500
Mailing Address - Fax:425-778-5600
Practice Address - Street 1:21827 76TH AVE W
Practice Address - Street 2:STE 102
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7981
Practice Address - Country:US
Practice Address - Phone:425-778-2500
Practice Address - Fax:425-778-5600
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00033003207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8208464Medicaid
WA8208464Medicaid
WAGAB25140Medicare PIN
WA4466240001Medicare NSC