Individual
SHANE MICHAEL TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
230 E SUPERIOR ST, DULUTH, MN 55802-2118
(218) 727-1448
Mailing address
230 E SUPERIOR ST, DULUTH, MN 55802-2118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15517
MN
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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