Individual
DAVID WILLIAM SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1622 29TH AVE NE, MINNEAPOLIS, MN 55418-2270
(612) 718-7506
Mailing address
1622 29TH AVE NE, MINNEAPOLIS, MN 55418-2270
(612) 543-2707
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40170
MN
2084P0804X
Child & Adolescent Psychiatry Physician
40170
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530954900
—
MN
Enumeration date
08/30/2007
Last updated
03/07/2013
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