JACK A SWELSTAD MD
NPI 1972524601
Surgery in Green Bay, WI

Q: What is Jack Swelstad's NPI number?

The NPI number for Jack Swelstad is 1972524601. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Jack Swelstad's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Swelstad was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2006

2845 GREENBRIER RD STE 230, GREEN BAY, WI 54311(920) 288-8250(920) 288-8255 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack A Swelstad Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK A SWELSTAD MD (NPI 1972524601) is an individual surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (21530) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1972524601

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJACK A SWELSTADCredential: MD

Location Address2845 GREENBRIER RD STE 230Green Bay, WI 54311-6519

Mailing Address2845 Greenbrier Rd Ste 230, Po Box 8900Green Bay, WI 54308-8900 · (920) 288-8250 · Fax (920) 288-8255

Phone(920) 288-8250

Fax(920) 288-8255

Sole ProprietorNo

Enumeration DateJuly 21, 2006

Last NPPES UpdateSeptember 30, 2008

✔ NPI 1972524601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WI · 21530

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2845 GREENBRIER RD STE 230, Green Bay, WI 54311

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Other Identifiers 3

Medicare UPINB57012

Medicaid03218700WI

Medicare ID-Type Unspecified001907650WI

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE C LEGGETT RN

Registered Nurse