Individual
ALICE D SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-6000
(612) 672-6041
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-6000
(612) 672-6041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49371
MN
208000000X
Pediatrics Physician
54721
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356522825
—
WI
Enumeration date
11/26/2007
Last updated
04/22/2015
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