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NPI Code Detail

MEDICARE: DR. NATHAN DEAN SWENSON M.D.

MEDICARE:  DR. NATHAN DEAN SWENSON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician87244-20WI
2207P00000XEmergency Medicine Physician63575MN

General Provider Information

NPI Number : 1033590088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN DEAN SWENSON M.D.
Provider Business Mailing Address
First Line : 2829 UNIVERSITY AVE SE
Second Line : SUITE 730
City : MINNEAPOLIS
State : MN
Zip : 55414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1575 BEAM AVE
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-1126
Country : US
Telephone Number : 651-232-7348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2015
Last Update Date : 06/01/2026

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Directions to “ DR. NATHAN DEAN SWENSON M.D.” Practice Location

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