Individual
DR. SAMUEL A SHELANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 N BOISE AVE, LOVELAND, CO 80538
(970) 810-3894
(970) 810-3897
Mailing address
2000 N BOISE AVE, LOVELAND, CO 80538
(970) 810-3894
(970) 810-3897
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
43222
CO
207RX0202X
Medical Oncology Physician
Primary
43222
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60489766
—
CO
01
—
P00944847
MEDICARE RAILROAD CARRIER PTAN
CO
Enumeration date
01/04/2006
Last updated
02/21/2025
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