NPI 1104576032

Roger Paul Swenson

Practitioner Foster Care Agency Moorhead, MN

Practice location

Address: 1713 43rd Ave S, Moorhead, MN 56560-6999
Phone: (218) 790-4915

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

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Registry record

NPI: 1104576032
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2022
Record last updated: 24 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.