Individual
JOSEPH JACOB SHAFFER
Active
Individual
JOSEPH JACOB SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
42452
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
42452
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061605200
—
MN
Enumeration date
08/30/2006
Last updated
09/28/2020
Update your record
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