Wade Swenson WADE SWENSON

NPI 1669766333 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1669766333
Gender Male
Enumeration Date 05/31/2011
Last Updated 06/24/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
500 S MAPLE ST
WACONIA MN, 55387-1752, US
Phone (763) 245-2376
Fax
Business Location
500 S MAPLE ST
WACONIA MN, 55387-1752, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Wade Swenson WADE SWENSON NPI is 1669766333, taxonomy code is 390200000X Wade Swenson WADE SWENSON physically located at 500 S Maple St, Waconia MN, 55387-1752. NPI Number Wade Swenson WADE SWENSON has the Individual type.

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1669766333 NPI number is provided on an as is basis without warranty of any kind. 1669766333 is maintained by the National Plan & Provider Enumeration System. The contents of Wade Swenson WADE SWENSON are for informational purposes only.