Individual
GLENN J SHAMDAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 ELM ST N, VAMC, FARGO, ND 58102-2417
(701) 232-3241
(701) 237-2616
Mailing address
2101 ELM ST N, VAMC, FARGO, ND 58102-2417
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ND6744
ND
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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