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Organization
TWIN CITIES MEDICAL GROUP PLLC
Active
Organization
TWIN CITIES MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN SWANSON MD (OWNER)
(651) 289-0352
Entity
Organization
Contact information
Practice address
2785 WHITE BEAR AVE N, STE 108-D, SAINT PAUL, MN 55109-1307
(651) 289-0352
Mailing address
2785 WHITE BEAR AVE N, STE 108-D, SAINT PAUL, MN 55109-1307
(651) 289-0352
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
08/13/2014
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