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Individual

DR. BROCK A SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-2674
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-2674

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1147-25
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710242854
WI
Enumeration date
07/04/2012
Last updated
09/17/2024
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