Individual
DR. JOHN D SWANSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 749-1171
Mailing address
3232 N BALLARD RD, SUITE 200, APPLETON, WI 54911-8804
(920) 749-9668
(920) 734-5307
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
32771
WI
207RH0003X
Hematology & Oncology Physician
32771
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31760000
—
WI
Enumeration date
02/21/2007
Last updated
10/25/2016
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