Individual
MR. WILLIS LEE SWYGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.C.S
Contact information
Practice address
859 GABRIEL RD, SAINT PAUL, MN 55119-5602
(952) 240-3081
Mailing address
859 GABRIEL RD, SAINT PAUL, MN 55119-5602
(952) 240-3081
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
63270
MN
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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