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Contact Information

LYLE J SWENSON, MD
927 CHURCHILL ST W
STILLWATER, MN55082
 Phone: 651-439-1234
 Fax: 651-430-8591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LYLE J SWENSON · (Male)

NPI Number 1679558977
Status Active
Credentials MD
Entity Individual
Enumeration date 12/08/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 24407
  • MN Medicaid 562382100
  • WI Medicaid 30744400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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