Provider Demographics
NPI:1164808416
Name:SWEDBERG, JOSHUA TAYLOR
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:TAYLOR
Last Name:SWEDBERG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-9437
Mailing Address - Country:US
Mailing Address - Phone:989-971-8705
Mailing Address - Fax:
Practice Address - Street 1:27 WHEELER RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-9437
Practice Address - Country:US
Practice Address - Phone:989-971-8705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-09
Last Update Date:2015-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide