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Organization

LYLE J. SWENSON, M.D, P.A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYLE J SWENSON M.D. (PRESIDENT)
(612) 747-9569
Entity
Organization

Contact information

Practice address
2854 HIGHWAY 55, SUITE #130, EAGAN, MN 55121-2156
(651) 224-4930
Mailing address
2854 HIGHWAY 55, SUITE #130, EAGAN, MN 55121-2156
(651) 224-4930

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
08/05/2008
Last updated
08/12/2008
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