Individual
MARK DAVID SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
Mailing address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1344626
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
337
MN
367500000X
Certified Registered Nurse Anesthetist
54863
MN
Other
Enumeration date
02/22/2006
Last updated
06/10/2019
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