Individual
PAUL SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46121
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075123
—
MT
01
—
04-00123
MEDICA PRIMARY
MN
01
—
04-07080
MEDICA CHOICE
MN
01
—
1041341
PREFERRED ONE
MN
01
—
132044
UCARE
MN
01
—
2156405
ARAZ
MN
01
—
397265
FAIRVIEW
MN
05
—
832972900
—
MN
01
—
HP42947
HEALTH PARTNERS
MN
Enumeration date
10/12/2006
Last updated
03/11/2021
Update your record
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