Individual
TAYLOR JAY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
506 LAUREL ST, BRAINERD, MN 56401-3526
(218) 829-0946
Mailing address
1 3RD AVE NE, CROSBY, MN 56441-1665
(218) 546-5108
(218) 546-5736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3509
MN
Other
Enumeration date
04/12/2016
Last updated
07/21/2022
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