Individual
DR. MARK W. SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1057 MEDICAL PARK DR, SUITE A, OSAGE BEACH, MO 65065-3000
(573) 348-2745
(573) 348-8279
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003005211
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209035500
—
MO
Enumeration date
03/14/2006
Last updated
01/28/2009
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