Individual
JESSICA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11040 N STATE ROAD 77, HAYWARD, WI 54843-3606
(715) 934-4321
Mailing address
11040 N STATE ROAD 77, HAYWARD, WI 54843-3606
(715) 934-4321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22614-875
WI
207P00000X
Emergency Medicine Physician
MT219516
PA
208600000X
Surgery Physician
125.073087
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2015
Last updated
12/24/2025
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