Individual
MICHAEL J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 PARK NICOLLET BLVD, PARK NICOLLET CLINIC - GASTRO, ST LOUIS PARK, MN 55416-2527
(952) 993-3240
(952) 993-1865
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-7169
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25905
MN
Other
Enumeration date
12/27/2005
Last updated
07/06/2012
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