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NPI Code Detail

MEDICARE: CRAIG A SVENDSEN MD

MEDICARE: CRAIG A SVENDSEN MD
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
1207Q00000XFamily Medicine Physician25910MN

General Provider Information

NPI Number : 1427016229
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG A SVENDSEN MD
Provider Business Mailing Address
First Line : 1414 MARYLAND AVE E
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-2824
Country : US
Telephone Number : 651-772-3461
Fax Number : 651-772-5477
Provider Business Practice Location Address
First Line : 1414 MARYLAND AVE E
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-2824
Country : US
Telephone Number : 651-772-3461
Fax Number : 651-772-5477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 04/03/2014

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Directions to “ CRAIG A SVENDSEN MD” Practice Location

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