Individual
JEFFREY SHOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 2ND AVE N, SAUK RAPIDS, MN 56379-1605
(320) 253-6601
Mailing address
1001 SUMMIT AVE N APT 217, SAUK RAPIDS, MN 56379-2598
(320) 253-6601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115064
MN
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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