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STEVEN ELLIOTT SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 SMITH AVE N, SUITE 200, SAINT PAUL, MN 55102-2533
(651) 241-6550
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
47595
WI
207T00000X
Neurological Surgery Physician
Primary
52629
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34613500
WI
01
47595
MEDICAL LICENSE
WI
01
52629
MEDICAL LICENSE
MN
Enumeration date
02/09/2006
Last updated
01/04/2012
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