Swenson, Eldon J

Swenson, Eldon J is an individual health care provider with primary practice located at 620 S 76Th St Suite 240, Milwaukee WI 53214-1599. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Swenson, Eldon J can be contacted via phone (414) 988-6350.

Contact Information

Primary practice address
620 S 76Th St Suite 240 Milwaukee WI 53214-1599
Phone: (414) 988-6350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 20106-20 Wisconsin

Profile Details

NPI number 1063496131
LBN Legal business name Swenson, Eldon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Aug 25th, 2011 - about 14 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 1063496131 NPPES
Wisconsin MEDICAID 310013700

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