Individual
DANIELLE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2000
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2000
(701) 234-8803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
ND
Other
Enumeration date
06/07/2019
Last updated
10/30/2019
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