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Individual

DR. TIMOTHY JOHN SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
120 E MAIN ST, MANKATO, MN 56001-3501
(507) 388-2989
(507) 388-2985
Mailing address
120 E MAIN ST, MANKATO, MN 56001-3501
(507) 388-2989
(507) 388-2985

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
44784
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S9
MN

Other

Enumeration date
04/18/2006
Last updated
01/10/2008
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