Individual
MR. PAUL W SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1701 18TH AVE NW, T-1173, AUSTIN, MN 55912-9337
(507) 437-7053
(507) 437-7053
Mailing address
1701 18TH AVE NW, T-1173, AUSTIN, MN 55912-9337
(507) 437-7053
(507) 437-7053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112002
MN
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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