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Individual

STEPHEN SWENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
8100 W 78TH ST STE 230, EDINA, MN 55439-2570
(952) 946-9777
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8388
MN
363LA2100X
Acute Care Nurse Practitioner
8388
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
8388
MN

Other

Enumeration date
08/09/2021
Last updated
11/03/2022
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