Individual
KYLE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 E 1ST ST, SUITE 310, DIXON, IL 61021-3166
(515) 210-9777
(815) 285-5699
Mailing address
215 E 1ST ST, SUITE 310, DIXON, IL 61021-3166
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005777
IL
213ES0131X
Foot Surgery Podiatrist
016005777
IL
Other
Enumeration date
07/07/2016
Last updated
12/12/2024
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