Individual
TERESE MARIE SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7373 FRANCE AVE S, SUITE 202, EDINA, MN 55435-4534
(952) 428-0200
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31732
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193502000
—
MN
Enumeration date
05/03/2006
Last updated
03/11/2021
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