Provider Demographics
NPI:1720036353
Name:SWENSON, ERIK D (MD)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:D
Last Name:SWENSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-643-9699
Mailing Address - Fax:515-643-9698
Practice Address - Street 1:8421 PLUM DRIVE
Practice Address - Street 2:MERCY ARTHRITIS AND OSTEOPOROSIS CENTER
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-7356
Practice Address - Country:US
Practice Address - Phone:515-270-7222
Practice Address - Fax:515-270-7202
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA37661207RR0500X
WI47321207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP00638302OtherRAILROAD MEDICARE
IA27305001Medicare PIN