Individual
JAMES CHRISTOPHER SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 17TH ST NW, BUILDING UNIT 417801 #6, AUSTIN, MN 55912-6355
(507) 440-0767
Mailing address
1700 17TH ST NW, BUILDING UNIT 417801 #6, AUSTIN, MN 55912-6355
(507) 440-0767
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
32355
MN
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274392200
—
MN
01
—
370004646
MEDICARE RAILROAD
MN
Enumeration date
12/12/2005
Last updated
05/12/2011
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