Provider Demographics
NPI:1245428481
Name:SWANSIGER, RAYMOND GABRIEL (PA-C)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:GABRIEL
Last Name:SWANSIGER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 7900 BOX 473
Mailing Address - Street 2:
Mailing Address - City:DPO
Mailing Address - State:AE
Mailing Address - Zip Code:09213-0473
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GIESENER STR. 30
Practice Address - Street 2:
Practice Address - City:FRANKFURT
Practice Address - State:HESSE
Practice Address - Zip Code:60435
Practice Address - Country:DE
Practice Address - Phone:850-420-6482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.000832363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant