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Kevin Dale Swenson
Medical Physician Assistant in Perham, Minnesota
NPI 1821403635

Kevin Dale Swenson is a Medical Physician Assistant based in Perham, MN and is specialized in Medical. Kevin Dale Swenson practices in Perham, MN. The NPI Number for Kevin Dale Swenson is 1821403635 and holds a License No. 2102 (Minnesota).

The current practice location address for Kevin Dale Swenson is 1000 Coney St W, Perham, MN and can be reached out via phone at 218-347-4500.

Location: 1000 Coney St W, Perham, MN, 56573-2403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821403635
Provider Name
Kevin Dale Swenson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 Coney St W, Perham, MN, 56573-2403
Phone Number
218-347-4500
Fax Number
Provider Enumeration Date
07/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 Coney St W
City
Perham
State
Minnesota
Zip
56573-2102
Phone Number
218-347-4500
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Coney St W
City
Perham
State
Minnesota
Zip
56573-2102
Phone Number
218-347-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2102 (Minnesota)
Definition
Definition to come...
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