Individual
DR. SHELBY RAE BUCHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31364
MN
207Q00000X
Family Medicine Physician
NDRL16577
ND
Other
Enumeration date
06/26/2020
Last updated
06/20/2023
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