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PENELOPE J SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1421 PREMIER DR, MANAKATO, MN 56001
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST, MANKATO, MN 56002-8674
(507) 625-1811

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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