Individual
DR. GENE WILLIAMS SWAIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
104 2ND AVE SE, WASECA, MN 56093-3041
(507) 835-4280
Mailing address
104 2ND AVE SE, WASECA, MN 56093-3041
(507) 835-4280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10406
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156L9AN
BLUECROSS/BLUESHIELD
MN
Enumeration date
10/18/2006
Last updated
07/08/2007
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