Individual
MAEVE ROSE SWACKHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
(612) 870-2947
Mailing address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(952) 290-6641
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15409
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
01/15/2026
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