Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 40932 | WI |
NPI | 1033209911 |
---|---|
Provider Name | Swati S Biswas |
First Address | Marshfield, WI 54449-5777 |
Second Address | Wausau, WI 54401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32548700 | (05) | WI |
G93389 | (02) |