Healthcare Provider Details

I. General information

NPI: 1114284320
Provider Name (Legal Business Name): ALEXANDRA FREUND SWENSON DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA FREUND GERDEL DC

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 BARNETTE ST
FAIRBANKS AK
99701-4510
US

IV. Provider business mailing address

912 BARNETTE ST
FAIRBANKS AK
99701-4510
US

V. Phone/Fax

Practice location:
  • Phone: 907-451-7000
  • Fax: 907-891-7297
Mailing address:
  • Phone: 907-451-7000
  • Fax: 907-891-7297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number568
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: