Individual
SAMUEL SHABTAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-2568
(608) 263-6400
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64185
MN
207RC0000X
Cardiovascular Disease Physician
64185
MN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
64185
MN
Other
Enumeration date
04/12/2017
Last updated
10/10/2023
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