Individual
HEATHER KAY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
138 MAIN ST S, PIERZ, MN 56364-4400
(320) 468-2587
(320) 845-6138
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45626
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00086876
RAIL ROAD MC
MN
01
—
01-14763
MEDICA
MN
01
—
1035400
PREFERRED ONE
MN
01
—
135039
UCARE
MN
01
—
656S1SW
BLUE CROSS
MN
05
—
781103900
—
MN
01
—
HP39979
HEALTH PARTNERS
MN
Enumeration date
08/19/2006
Last updated
09/15/2023
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