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Individual

DR. RALPH SCOTT SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15700 37TH AVE N, SUITE 110, PLYMOUTH, MN 55446-3399
(763) 577-0008
(763) 577-0192
Mailing address
15700 37TH AVE N, SUITE 110, PLYMOUTH, MN 55446-3399
(763) 577-0008
(763) 577-0192

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
28431
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3600132
MEDICA
MN
01
51B55SH
BLUE CROSS BLUE SHIELD
MN
05
882883100
MN
Enumeration date
12/28/2006
Last updated
02/16/2010
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