Provider Demographics
NPI:1962497917
Name:MCSWEEN, MICHAEL F (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:MCSWEEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 WESTBANK EXPY
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-4400
Mailing Address - Country:US
Mailing Address - Phone:504-262-1200
Mailing Address - Fax:504-262-1227
Practice Address - Street 1:712 WESTBANK EXPY
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-4400
Practice Address - Country:US
Practice Address - Phone:504-262-1200
Practice Address - Fax:504-262-1227
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06644R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1347965Medicaid
LA5M434Medicare PIN
LAB61827Medicare UPIN