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Individual

DR. CHARLES WEBSTER SHEPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2530 CHICAGO AVENUE SOUTH SUITE 500, MINNEAPOLIS, MN 55404
(612) 813-8800
Mailing address
2530 CHICAGO AVE STE 500, MINNEAPOLIS, MN 55404-4291
(612) 813-8800

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
50718
MN

Other

Enumeration date
03/07/2008
Last updated
11/12/2020
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