Individual
JORDAN MICHAEL SWANBERG
Active
Individual
JORDAN MICHAEL SWANBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209025663
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041444153
RN
IL
Enumeration date
07/06/2022
Last updated
08/10/2022
Update your record
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