Individual
DR. JONATHAN DAVID SHELVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-9673
Mailing address
PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(651) 254-3456
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
535847
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
535847
MN
207RP1001X
Pulmonary Disease Physician
535847
MN
Other
Enumeration date
05/10/2010
Last updated
07/17/2017
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