Individual
PENELOPE J SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
44271
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0586008
—
IA
01
—
0801074
MEDICA MN
—
01
—
166247
UCARE MN
—
01
—
2409708
AMERICAS PPO MN
—
01
—
41084933956001G010
CHAMPUS
—
05
—
448032500
—
MN
01
—
796S7SW
BCBS MN
—
01
—
HP41128
HEALTH PARTNERS MN
—
01
—
NA2951040749
PREFERRED ONE MN
—
01
—
P00144651
RR MEDICARE
—
Enumeration date
01/10/2006
Last updated
07/15/2020
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