Individual
JOHN G SHEAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1997 SLOAN PL, SUITE 17, MAPLEWOOD, MN 55117-2094
(715) 531-6800
(715) 531-6801
Mailing address
2651 HILLCREST DRIVE, SUITE 303, HUDSON, WI 54016-4439
(715) 531-6800
(715) 531-6801
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25906
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32189500
—
WI
05
—
768302200
—
MN
Enumeration date
06/15/2006
Last updated
05/31/2023
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