Individual
DR. RAYMOND ELMER SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 ISLAND VIEW DR, GOSHEN, IN 46526-5213
(574) 533-0066
Mailing address
207 ISLAND VIEW DR, GOSHEN, IN 46526-5213
(574) 533-0066
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
010304708
IN
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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