Organization · Type 2 NPI

Swedishamerican Hospital

Plastic and Reconstructive Surgery Physician · Rockford, IL

NPI number 1093139909 Active

Practice location

1639 N Alpine Rd Ste 400
Rockford, IL 61107

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1093139909

Swedishamerican Hospital's National Provider Identifier is 1093139909, issued on Feb 12, 2014. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Rockford, IL. The record was last updated on Jul 12, 2018.