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Individual
JEANINE MARIE SWENSON
Active
Individual
JEANINE MARIE SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT88-228
WI
208000000X
Pediatrics Physician
36627-20
WI
2080P0202X
Pediatric Cardiology Physician
36627
WI
Other
Enumeration date
05/13/2008
Last updated
12/23/2011
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