Provider Demographics
NPI:1649671694
Name:SAGINAW SWIFTCARE
Entity type:Organization
Organization Name:SAGINAW SWIFTCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ADETUNJI
Authorized Official - Middle Name:ENITAN
Authorized Official - Last Name:ADESANOYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-455-5945
Mailing Address - Street 1:1209 N SAGINAW BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76179-1169
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1209 N SAGINAW BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179-1169
Practice Address - Country:US
Practice Address - Phone:301-455-5945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care