Individual
SHAWN C OXENTENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
42025
MN
208100000X
Physical Medicine & Rehabilitation Physician
44539
WI
208100000X
Physical Medicine & Rehabilitation Physician
61853
AZ
Other
Enumeration date
06/01/2005
Last updated
11/12/2021
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