| Doctor Name: | KEITH SWANSON |
| NPI Number: | 1144503038 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 1347060 |
| Business Practice Address: | 700 E Magnolia Ave Manitowoc, WI - 542202256 |
| Business Phone Number: | 9206821718 |
| Business Fax Number: | |
| Mailing Address: | 140 Corporate Dr, Ste 1 BEAVER DAM |
| State: | WI |
| Postal Code: | 539161281 |
| Phone Number: | 9208879658 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2011 |
| NPI Last Update Date: | 09/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | 1347060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |