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Individual

SARA J SHUMWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
PWB THIRD FLOOR, CLINIC 3B, 516 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 625-3600
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 292, MINNEAPOLIS, MN 55455
(612) 625-3600

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
32237
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
32237
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
033969
FAIRVIEW
MN
05
0972356
IA
01
1009309
PREFERRED ONE
MN
01
101586
UCARE
MN
01
18-22559
MEDICA CHOICE
MN
01
18-70034
MEDICA PRIMARY
MN
01
2T105SH
BLUE CROSS BLUE SHIELD
MN
05
576390800
MN
01
768349
ARAZ
MN
01
HP22205
HEALTH PARTNERS
MN
Enumeration date
09/13/2006
Last updated
09/07/2018
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