Individual
TODD SVENNINGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 H. STREET, POPLAR, MT 59255
(406) 768-2159
Mailing address
PO BOX 326, FORT PECK, MT 59223-0326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
32744
MT
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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