Individual
SHAMAN WHITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
73337
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
08/21/2023
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