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Individual

KATHERINE MARIE SHAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 ROCKY MOUNTAIN AVE STE 330, LOVELAND, CO 80538-9004
(970) 203-7110
(970) 203-7098
Mailing address
2500 ROCKY MOUNTAIN AVE # 330, LOVELAND, CO 80538-9004
(970) 203-7110
(970) 203-7098

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
66770-20
WI
208200000X
Plastic Surgery Physician
Primary
DR.0070761
CO

Other

Enumeration date
04/09/2015
Last updated
07/10/2023
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