Individual
DR. DESEREA MARIE SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5253
Mailing address
194 MISSILE AVE, MINOT AFB, ND 58705-5024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006909A
IN
Other
Enumeration date
03/03/2020
Last updated
02/28/2024
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