Individual
DANIEL PAUL SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
2849 MICHIGAN ST NE STE 100, GRAND RAPIDS, MI 49506-1216
(616) 956-0400
Mailing address
1523 TAMARACK AVE NW, GRAND RAPIDS, MI 49504-3040
(517) 294-7878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019742
MI
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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