Shad Leroy Swanson, D.C.

NPI #1558368209 in Bemidji, Minnesota

Provider Information

NPI Number: 1558368209
Entity Type: Individual
Name: Shad Leroy Swanson, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 7, 2005
Last Updated: Dec 4, 2007

Practice Location

Address: 403 AMERICA AVE NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-3122
Phone: (218) 444-8727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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