Individual
SHAILLY DHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MAYO CLINIC HEALTH SYSTEM MANKATO, 1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
3366 OAKDALE AVE NO, #315 NORTH CLINIC, PA, ROBBINSDALE, MN 55422-2948
(763) 587-7900
(763) 587-7989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
104501
MN
Other
Enumeration date
01/26/2009
Last updated
03/31/2021
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