Individual
MARK A SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C,SA-C
Contact information
Practice address
23671 SAINT FRANCIS BLVD NW, SUITE 104, SAINT FRANCIS, MN 55070-9802
(763) 753-8724
(763) 753-8725
Mailing address
23671 SAINT FRANCIS BLVD NW, SUITE 104, SAINT FRANCIS, MN 55070-9802
(763) 753-8724
(763) 753-8725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8822
MN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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