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Contact Information

BRYAN K SWILLEY, DO
673 MLK BLVD N
PONTIAC, MI48342
 Phone: 248-338-2793
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for BRYAN K SWILLEY · (Male)

NPI # 1861409302
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/01/2006
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # BS010362
  • MI Medicaid 114402195
  • MI Other 0856308604 BCBS
  • MI Other 000000001401 CAPE HEALTH PLAN
  • MI Other 132616 CARE CHOICES
Hospital affiliation(s)
  • MCLAREN OAKLAND - (Acute Care)
    50 NORTH PERRY
    PONTIAC, MI 48342
  • ST JOSEPH MERCY OAKLAND - (Acute Care)
    44405 WOODWARD AVE
    PONTIAC, MI 48341
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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