Provider Demographics
NPI:1841300860
Name:SWIERCZYNSKI, MICHAEL F (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:SWIERCZYNSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 LEIGUS RD
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-6000
Mailing Address - Country:US
Mailing Address - Phone:203-265-4216
Mailing Address - Fax:
Practice Address - Street 1:1627 MERIDEN RD # A
Practice Address - Street 2:
Practice Address - City:WOLCOTT
Practice Address - State:CT
Practice Address - Zip Code:06716-3231
Practice Address - Country:US
Practice Address - Phone:203-879-7246
Practice Address - Fax:203-879-9340
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTU85007Medicare UPIN