| Organization Name: | JOHN M SWANGIM DPM |
| NPI Number: | 1215066634 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MICHAEL SWANGIM (PODIATRIST) |
| Mailing Address: | 940 Quail Ridge Dr Porter |
| State: | IN US |
| Postal Code: | 463041047 |
| Phone Number: | 2193958752 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 07000859A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |