Individual
STEPHEN S SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
713 ANDERSON AVE, ST CLOUD, MN 56303
(320) 229-3761
(320) 229-3763
Mailing address
1406 6TH AVE N, ST CLOUD, MN 56303
(320) 251-2700
(320) 656-7026
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
26476
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
665323500
—
MN
Enumeration date
05/12/2006
Last updated
04/15/2013
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