| NPI | 1366778250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN RICHARD SWIFT Owner 715-845-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: WI 37345) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2011-06-08 |