Individual
VICTORIA L SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43568
MN
207Q00000X
Family Medicine Physician
Primary
63349
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083463700
—
MN
Enumeration date
03/28/2006
Last updated
02/25/2015
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