Provider Demographics
NPI:1174533228
Name:SWEENEY, PATRICK J (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4441 CAPITAL AVE SW
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-9359
Mailing Address - Country:US
Mailing Address - Phone:269-788-6888
Mailing Address - Fax:269-788-6889
Practice Address - Street 1:4441 CAPITAL AVE SW
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-9359
Practice Address - Country:US
Practice Address - Phone:269-788-6888
Practice Address - Fax:269-788-6889
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301064552208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3069278Medicaid
MI3069278Medicaid
C6266Medicare ID - Type Unspecified