Individual
PAUL SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
(701) 237-2633
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278306
—
OH
01
—
P00254711
RAILROAD MEDICARE
OH
Enumeration date
05/24/2005
Last updated
02/18/2025
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