Individual
BRUCE SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 FREEWAY BLVD, SUITE 203, BROOKLYN CENTER, MN 55430-1751
(763) 441-8998
(763) 441-7291
Mailing address
2800 FREEWAY BLVD, SUITE 203, BROOKLYN CENTER, MN 55430-1751
(763) 441-8998
(763) 441-7291
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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