Individual
KEITH SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E MAGNOLIA AVE, MANITOWOC, WI 54220-2256
(920) 682-1718
Mailing address
140 CORPORATE DR, STE 1, BEAVER DAM, WI 53916-1281
(920) 887-9658
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1347060
WI
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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