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Individual

KEVIN DALE SWENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-4500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11682
MN
363AM0700X
Medical Physician Assistant
2102
MN

Other

Enumeration date
07/01/2014
Last updated
05/05/2025
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