Individual
DR. KATHLEEN M SWEETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
424 W HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
Mailing address
424 W HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26676
MN
208000000X
Pediatrics Physician
Primary
26676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01013410
PREFERRED ONE
—
01
—
64D92SW
BCBS
—
01
—
66-08240
MEDICA U/C
—
05
—
798862100
—
MN
01
—
HP11566
HEALTH PARTNERS
—
Enumeration date
05/27/2006
Last updated
07/23/2012
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