Individual
SHALAMAR D SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB SIXTH FLOOR, CLINIC 6A, MINNEAPOLIS, MN 55455-0356
(612) 625-8690
Mailing address
420 DELAWARE ST SE, MMC 101, MINNEAPOLIS, MN 55455-0341
(612) 624-5150
(612) 626-3133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43242
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
43242
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93R17SI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/19/2006
Last updated
09/13/2016
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