Individual
DR. WADE G SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 S MAPLE ST STE 40, WACONIA, MN 55387-1759
(952) 925-5626
(952) 925-0223
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1752
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
61213
MN
Other
Enumeration date
05/31/2011
Last updated
02/28/2018
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