Individual
SHAWN MARIE GENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(612) 203-2095
Mailing address
8299 KIMBALL DR, EDEN PRAIRIE, MN 55347-2126
(612) 203-2095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
88975
MN
Other
Enumeration date
10/13/2011
Last updated
12/20/2011
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