Individual
MR. GRAYSON JOEL SWALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 231-4130
Mailing address
815 11TH ST SW, WILLMAR, MN 56201-3026
(320) 235-5256
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R102582-2
MN
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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