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Individual

DR. KENNETH ANDREW SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2801 W KINNICKINNIC RIVER PKWY STE 436, MILWAUKEE, WI 53215-3678
(414) 649-3577
(414) 649-3753
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70647-21
WI
207RI0200X
Infectious Disease Physician
Primary
70647
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100090491
WI
Enumeration date
03/23/2016
Last updated
07/22/2024
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