Individual
SUZANNE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W5282 AMY AVE, APPLETON, WI 54915-7233
(920) 358-1900
(920) 358-1909
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32918
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32647800
—
WI
Enumeration date
08/03/2006
Last updated
03/12/2012
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