Individual
DR. TRACI L. SHOGREN-KNAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 DUFF AVE, AMES, IA 50010-5793
(515) 239-2182
(515) 239-3665
Mailing address
1111 DUFF AVE, AMES, IA 50010-5793
(515) 239-2182
(515) 239-3665
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36163
IA
Other
Enumeration date
11/11/2005
Last updated
12/07/2020
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