Individual
DR. SHAWN M. RONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Mailing address
8170 33RD AVE S, MS21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-6412
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2007-00903
NC
207W00000X
Ophthalmology Physician
4301082323
MI
207W00000X
Ophthalmology Physician
54273
WI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
61616
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907098
—
NC
Enumeration date
03/27/2007
Last updated
05/29/2019
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