Provider Demographics
NPI:1356427496
Name:SWEITZER, DONALD EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EDWARD
Last Name:SWEITZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:600 MORRIS ST
Mailing Address - Street 2:STE 103
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1409
Mailing Address - Country:US
Mailing Address - Phone:304-388-7040
Mailing Address - Fax:304-388-7041
Practice Address - Street 1:600 MORRIS ST
Practice Address - Street 2:STE 103
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1409
Practice Address - Country:US
Practice Address - Phone:304-388-7040
Practice Address - Fax:304-388-7041
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV2867208200000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6941656Medicaid
VA6941656Medicaid
E66913Medicare UPIN