Individual
KRISTINE LEA SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PS
Contact information
Practice address
623 W NORTH ST, MADRID, IA 50156-1023
(515) 795-4300
Mailing address
623 W NORTH ST, MADRID, IA 50156-1023
(515) 795-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001044
IA
Other
Enumeration date
03/29/2007
Last updated
08/15/2013
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