Individual
STEPHANIE MARIE SWAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
115 DREW AVE SE STE 202, MADELIA, MN 56062-1870
(507) 588-5011
Mailing address
309 HOLLY LN, MANKATO, MN 56001-5422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14436
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2018
Last updated
05/13/2023
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