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Individual

LEONARD EDWARD SHELHAMER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
201 SOUTH LN, ALBERT LEA, MN 56007-1450
(507) 377-1530

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22252
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149283700
MN
Enumeration date
01/16/2006
Last updated
03/08/2021
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