Individual
DR. JENNIFER D SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 W 13TH ST, GRAFTON, ND 58237
(701) 352-1620
Mailing address
164 W 13TH ST, GRAFTON, ND 58237-1826
(701) 352-1620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14586
ND
Other
Enumeration date
08/09/2013
Last updated
09/15/2020
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