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Individual

WILLIAM G SHORES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
622 SUNRISE DR, ST PETER, MN 56082-1201
(507) 931-2110
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22254
MN

Other

Enumeration date
12/02/2005
Last updated
07/08/2007
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