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Individual
DR. CHARLES STEPHEN SHAFFER
Active
Individual
DR. CHARLES STEPHEN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60110
MN
208M00000X
Hospitalist Physician
60110
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60110
STATE LICENSE
MN
Enumeration date
06/17/2010
Last updated
12/11/2023
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