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Individual

DR. JOHN H SHELSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
(605) 312-1001
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
36353
TN
2080P0205X
Pediatric Endocrinology Physician
Primary
3920
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0082960
MT
05
009992005
AL
05
02604722-03
NY
05
05086744
MS
05
0587857
IA
05
1470945
LA
05
154141001
AR
05
200031050A
OK
05
200513750A
IN
05
209076900
MO
05
422400000
ME
05
5440119
TN
05
64081276
KY
05
694544897A
GA
05
7614234
NC
05
82736863
NM
05
977465
AZ
05
Q36354
SC
Enumeration date
05/27/2005
Last updated
09/07/2022
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