Individual
DR. BRIAN C SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
410 E WASHINGTON ST, SLINGER, WI 53086-9650
(262) 644-6951
Mailing address
410 E WASHINGTON ST, P.O. BOX 379, SLINGER, WI 53086-9650
(262) 644-6951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6881-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/04/2012
Last updated
05/29/2012
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