Mid Wisconsin Ear, Nose & Throat Professionals

NPI #1366778250 in Wausau, Wisconsin

Provider Information

NPI Number: 1366778250
Entity Type: Organization
Organization Name: Mid Wisconsin Ear, Nose & Throat Professionals
Primary Specialty: Otolaryngology - Facial Plastic Surgery
Enumeration Date: Oct 27, 2009
Last Updated: Jun 8, 2011

Practice Location

Address: 2600 RIB MOUNTAIN DR
Address 2: SUITE 200
City: Wausau
State: Wisconsin
ZIP Code: 54401-7196
Phone: (715) 845-2423

Authorized Official

Name: DR. IAN RICHARD SWIFT, M.D.
Title: OWNER
Phone: (715) 845-2423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Facial Plastic Surgery — Facial Plastic Surgery	207YS0123X	Primary

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