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Individual

MR. SHAWN D. ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
515 BRIDGE ST, PARK RAPIDS, MN 56470-1210
(218) 366-9229
Mailing address
PO BOX 454, PARK RAPIDS, MN 56470-0454
(218) 255-0655

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
11/01/2006
Last updated
04/26/2010
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