Individual
TONY SHAIKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 E COLLEGE DR, SUITE 704, MARSHALL, MN 56258-2065
(507) 532-3393
(320) 839-4196
Mailing address
309 WASHINGTON AVE, ORTONVILLE, MN 56278-1357
(320) 839-4271
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104418
MN
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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