Individual
DR. ELDON J SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 S 76TH ST, SUITE 240, MILWAUKEE, WI 53214-1599
(414) 988-6350
Mailing address
620 S 76TH ST, SUITE 240, MILWAUKEE, WI 53214-1599
(414) 988-6350
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20106-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310013700
—
WI
Enumeration date
12/02/2005
Last updated
08/25/2011
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