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Individual

DR. ANTON SHAPOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1301
(612) 294-4903
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
76179
GA
2085R0202X
Diagnostic Radiology Physician
Primary
76179
GA
2085R0202X
Diagnostic Radiology Physician
ME149471
FL

Other

Enumeration date
04/07/2011
Last updated
03/23/2026
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