Swanson, Mark K

Swanson, Mark K is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Swanson, Mark K can be contacted via phone (715) 387-5408.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449
Phone: (715) 387-5408
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17540 Wisconsin
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 17540 Wisconsin

Profile Details

NPI number 1194826933
LBN Legal business name Swanson, Mark K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194826933 NPPES
Wisconsin MEDICAID 30209000

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