Individual
DR. TODD C SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2900 S WISCONSIN AVE, RICE LAKE, WI 54868-8578
(608) 341-9636
Mailing address
2900 S WISCONSIN AVE, RICE LAKE, WI 54868-8578
(608) 341-9636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2907
WI
152W00000X
Optometrist
Primary
2907-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042571
PHYSICIANS PLUS
WI
05
—
38620100
—
WI
01
—
60180
DEAN HEALTH INSURANCE
WI
Enumeration date
04/11/2006
Last updated
05/18/2015
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