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Shad Leroy Swanson, DC
Chiropractor in Bemidji, Minnesota
NPI 1558368209

Shad Leroy Swanson is a Chiropractor based in Bemidji, MN. Shad Leroy Swanson practices in Bemidji, MN and has the professional credentials of DC. The NPI Number for Shad Leroy Swanson is 1558368209 and holds a License No. 4040 (Minnesota).

The current practice location address for Shad Leroy Swanson is 403 America Ave Nw, Bemidji, MN and can be reached out via phone at 218-444-8727 and via fax at 218-444-8546.

Location: 403 America Ave Nw, Bemidji, MN, 56601-4754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558368209
Provider Name
Shad Leroy Swanson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
403 America Ave Nw, Bemidji, MN, 56601-4754
Phone Number
218-444-8727
Fax Number
218-444-8546
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122393300 05 MN
219G4SW 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
403 America Ave Nw
City
Bemidji
State
Minnesota
Zip
56601-3122
Phone Number
218-444-8727
Fax Number
218-444-8546
person
Provider Business Mailing Address Details
Address
403 America Ave Nw
City
Bemidji
State
Minnesota
Zip
56601-3122
Phone Number
218-444-8727
Fax Number
218-444-8546
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4040 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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