Individual
SCOTT A SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-3703
(320) 762-6040
(320) 762-6038
Mailing address
5775 WAYZATA BLVD, SUITE 400, ST LOUIS PARK, MN 55416-1222
(320) 762-6040
(320) 762-6038
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25488
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026L8SW
BLUE CROSS BLUE SHIELD
MN
01
—
107115C561
UCARE OF MINNESOTA
MN
01
—
16-02279
MEDICA
MN
01
—
26047
ARAZ/ AMERICA'S PPO
MN
01
—
300137475
RAILROAD MEDICARE
MN
01
—
411772562
TRICARE
MN
05
—
647267200
—
MN
01
—
965251008799
PREFERRED ONE
MN
01
—
HP38512
HEALTH PARTNERS
MN
Enumeration date
07/28/2005
Last updated
07/08/2007
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