Individual
SHAWN E KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8990 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5850
(763) 398-1162
(763) 398-0124
Mailing address
8990 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5884
(763) 398-1162
(763) 398-0124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209006983
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
R 139446-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246P8KR
BCBSMN
MN
05
—
978133100
—
MN
Enumeration date
04/27/2006
Last updated
07/29/2014
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