Individual
LARS V SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 W 9TH AVE STE 203, OSHKOSH, WI 54904-7864
(920) 738-2000
Mailing address
2700 W 9TH AVE STE 203, OSHKOSH, WI 54904-7864
(920) 738-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44250
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34213000
—
WI
Enumeration date
09/14/2005
Last updated
03/19/2025
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