Provider Demographics
NPI:1285875666
Name:SWENSON, GARRET (DC)
Entity type:Individual
Prefix:
First Name:GARRET
Middle Name:
Last Name:SWENSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58203-3500
Mailing Address - Country:US
Mailing Address - Phone:701-738-0990
Mailing Address - Fax:701-738-0991
Practice Address - Street 1:402 UNIVERSITY AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58203-3500
Practice Address - Country:US
Practice Address - Phone:701-738-0990
Practice Address - Fax:701-738-0991
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor