Provider Demographics
NPI:1134006950
Name:TALVELA, XAVIER SWIECKI
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:SWIECKI
Last Name:TALVELA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:KSAWERY
Other - Middle Name:JAN
Other - Last Name:SWIECKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9740 CONANT ST SUITE 5
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212
Mailing Address - Country:US
Mailing Address - Phone:248-726-0127
Mailing Address - Fax:248-918-4958
Practice Address - Street 1:9740 CONANT ST SUITE 5
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212
Practice Address - Country:US
Practice Address - Phone:248-726-0127
Practice Address - Fax:248-918-4958
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program