Individual
DR. JORDAN K SWENSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, RM 0663, INDIANAPOLIS, IN 46202-5149
(317) 944-1866
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01076526A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11016013A
IN
Other
Enumeration date
06/29/2011
Last updated
03/05/2021
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