Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 30029 | MN |
NPI | 1013994052 |
---|---|
Provider Name | Richard Sveum |
First Address | Minneapolis, MN 55416-2527 |
Second Address | Minneapolis, MN 55416-2527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 04/10/2011 |