Individual
JESSICA PIKE SWARTOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 6TH AVE N, CENTRACARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 6TH AVE N, CENTRACARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
48770
MN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
48770
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHAMPUS
B101
—
Enumeration date
09/25/2006
Last updated
03/16/2023
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