Organization
FM REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LESLIE SHOGREN DC (OWNER)
(218) 233-8544
Entity
Organization
Contact information
Practice address
312 HIGHWAY 75 N, MOORHEAD, MN 56560-2407
(218) 233-8544
(218) 233-8545
Mailing address
510 SUNSET DR, OXBOW, ND 58047-5012
(701) 588-4195
(701) 588-4196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6503
MN
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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