Individual
DR. ARUN J SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 S KENWOOD AVE, MOOSE LAKE, MN 55767-9405
(218) 485-5541
Mailing address
9727 UTICA RD, BLOOMINGTON, MN 55437-2091
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
45384
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021690900
—
MN
01
—
45384
MN LICENSE
MN
Enumeration date
05/08/2006
Last updated
11/10/2020
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