Individual
SHANE D NYGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 7TH ST W, PARK RAPIDS, MN 56470-1872
(218) 699-3121
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5382
ND
Other
Enumeration date
09/30/2006
Last updated
02/28/2018
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