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Individual

ERIN MICHELLE SHUSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8722 47TH ST SW, HOWARD LAKE, MN 55349-5203
(763) 760-9750
Mailing address
8722 47TH ST SW, HOWARD LAKE, MN 55349-5203
(763) 760-9750

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
04/25/2019
Last updated
04/25/2019
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