Swanson, Richard W

Swanson, Richard W is an individual health care provider with primary practice located at 1024 N Main St , Rice Lake WI 54868-0028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Swanson, Richard W can be contacted via phone (715) 234-8151.

Contact Information

Primary practice address
1024 N Main St Rice Lake WI 54868-0028
Fax: (715) 234-7950
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23267 Wisconsin

Profile Details

NPI number 1306904057
LBN Legal business name Swanson, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Mar 7th, 2023 - about last year

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 1306904057 NPPES
Minnesota MEDICAID 754024800
Minnesota MEDICAID 31558800

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