Individual
SHAN M FLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
(320) 763-5749
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
(320) 763-5749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
107477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107477
MEDICAL LICENSE
MN
01
—
1265728026
NPI
MN
05
—
1265728026
—
MN
Enumeration date
06/21/2011
Last updated
03/07/2023
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