Provider Demographics
NPI:1063587764
Name:SWIFT, WILLIAM JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:SWIFT
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:702 N BLACKHAWK AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-3357
Mailing Address - Country:US
Mailing Address - Phone:608-663-5926
Mailing Address - Fax:608-663-5928
Practice Address - Street 1:702 N BLACKHAWK AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-3357
Practice Address - Country:US
Practice Address - Phone:608-663-5926
Practice Address - Fax:608-663-5928
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI17718-0202084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1063587764Medicaid