Individual
JOHN N SHELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7828
(315) 470-5811
Mailing address
PO BOX 608, JORDAN, NY 13080
(731) 415-3389
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
300825
NY
Other
Enumeration date
05/06/2006
Last updated
09/05/2013
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