MIKE SWANN MD LLC NPI 1689907081

NPI Details

MIKE SWANN, MD, LLC is a procedural dermatology dermatology in Springfield, MO. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). MIKE SWANN, MD, LLC NPI is 1689907081. The provider is registered as an organization entity type.
The provider Is Doing Business As Swann Dermatology & Esthetics.

The provider's business location address is:

3850 S NATIONAL AVE
SUITE 705
SPRINGFIELD, MO
ZIP 65807-287
Phone: (417) 888-0858
Fax: (417) 889-0476

The provider's authorized official is Michael H. Swann .
The authorized official title is Owner and has the following contact phone number (417) 888-0858.

The CLIA number assigned to this NPI record is 26D2031359 - other - moh's surgical center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/16/2009 and was last updated on 4/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: