Individual
CATHERINE E SHIREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
Mailing address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5862
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11032
ND BC/BS
—
05
—
16788
—
ND
01
—
24870
ND BC/BS
—
01
—
41329
SIOUX VALLEY
—
05
—
45034068812
—
NE
05
—
7776110
—
SD
Enumeration date
10/04/2006
Last updated
10/01/2018
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