Individual
JAMI SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003333
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3393
STATE OF WISCONSIN
WI
Enumeration date
07/09/2015
Last updated
02/13/2018
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