Individual
SHANNON RADEKE CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 23RD STREET SOUTH, CENTRACARE CLINIC SAUK CROSSING, SARTELL, MN 56377-4765
(320) 229-5120
(320) 200-3235
Mailing address
2000 23RD STREET SOUTH, CENTRACARE CLINIC SAUK CROSSING, SARTELL, MN 56377-4765
(320) 229-5120
(320) 200-3235
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37730
MN
207W00000X
Ophthalmology Physician
49115
MN
Other
Enumeration date
11/14/2006
Last updated
04/27/2017
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