| Doctor Name: | GENEVIEVE M SWENSON |
| NPI Number: | 1679836340 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | R 179873-5 |
| Business Practice Address: | 4570 Cty. Hwy. 61 Moose Lake, MN - 557679401 |
| Business Phone Number: | 2184854491 |
| Business Fax Number: | 2184854724 |
| Mailing Address: | 4570 County Highway 61, MOOSE LAKE |
| State: | MN |
| Postal Code: | 557679401 |
| Phone Number: | 2184854491 |
| Fax Number: | 2184854724 |
| NPI Enumeration Date: | 06/19/2012 |
| NPI Last Update Date: | 12/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R 179873-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |