Individual
SHAWN STAFKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 11TH ST NW, WADENA, MN 56482-1044
(218) 631-3510
(218) 631-7503
Mailing address
421 11TH ST NW, WADENA, MN 56482-1044
(218) 631-3510
(218) 631-7503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75167
MN
Other
Enumeration date
04/17/2020
Last updated
12/13/2023
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