Individual
ERIC W SVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16792 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3748
(814) 373-2335
(814) 373-2338
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-2335
(814) 373-2338
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
35053495
OH
2085R0001X
Radiation Oncology Physician
Primary
MD036727E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000154701
ANTHEM BCBS
OH
05
—
001057044-0003
—
PA
05
—
0628959
—
OH
01
—
H051470
MEDICARE PTAN
OH
Enumeration date
01/22/2007
Last updated
10/04/2016
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