Individual
MR. MICHAEL R SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
28199 WEST AVE, CANTON, SD 57013-5845
(605) 987-2829
Mailing address
28199 WEST AVE, CANTON, SD 57013-5845
(605) 987-2829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
593
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22445
SIOUX VALLEY HEALTH
—
01
—
4997728
WELLMARK
—
05
—
7601030
—
SD
Enumeration date
10/23/2006
Last updated
07/08/2007
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