Individual
PAUL SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 BANDANA BLVD W, SAINT PAUL, MN 55108-5107
(651) 241-9700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
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
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