Individual
MRS. SHANA MARIE BUERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDH, DT
Contact information
Practice address
2442 COUNTY HWY 10, MOUNDS VIEW, MN 55112
(763) 316-5400
Mailing address
108 BICHNER LN, MAHTOMEDI, MN 55115-6810
(651) 983-1429
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT159
MN
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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