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Individual

DR. MARK S SHIMKO

Active
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Individual

DR. MARK S SHIMKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
50973
MN
208800000X
Urology Physician
C1-0009994
DE
208800000X
Urology Physician
Primary
D0073462
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
MN
01
P00645889
MEDICARE, RAILROAD
MN
Enumeration date
07/27/2007
Last updated
06/13/2025
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