Shaw, Michael J

Shaw, Michael J is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd Park Nicollet Clinic - Gastro, St Louis Park MN 55416-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shaw, Michael J can be contacted via phone (952) 993-3240.

Contact Information

Primary practice address
3800 Park Nicollet Blvd Park Nicollet Clinic - Gastro St Louis Park MN 55416-2527
Phone: (952) 993-3240
Fax: (952) 993-1865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25905 Minnesota

Profile Details

NPI number 1063499663
LBN Legal business name Shaw, Michael J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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