Individual
DR. ROBERT EUGENE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
560 S MAPLE ST, SUITE 110, WACONIA, MN 55387-1733
(952) 442-4445
(952) 442-2455
Mailing address
7450 FRANCE AVE S, SUITE 100, EDINA, MN 55435-5189
(952) 832-8100
(952) 832-8188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1478
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140002774
MEDICARE
MN
05
—
233823800
—
MN
01
—
980D1SW
BCBS
MN
Enumeration date
02/22/2006
Last updated
02/11/2010
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