Organization
SALEM S SHAHIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN MARIE SEIL (CLINIC MANAGER)
(701) 572-0127
Entity
Organization
Contact information
Practice address
1219 KNOLL ST, WILLISTON, ND 58801-3234
(701) 572-0127
(701) 572-4472
Mailing address
1219 KNOLL ST, WILLISTON, ND 58801-3234
(701) 572-0127
(701) 572-4472
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4571
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13783
—
ND
Enumeration date
12/07/2011
Last updated
12/07/2011
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