Individual
SHELLY A. MARETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 HARVARD ST SE, UNIT J2-300, MINNEAPOLIS, MN 55455-0363
(612) 273-6004
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 292, MINNEAPOLIS, MN 55455
(612) 273-6004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
48175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147160
—
MT
05
—
0596767
—
IA
01
—
1044925
PREFERRED ONE
MN
01
—
135210
UCARE
MN
01
—
16-02032
MEDICA PRIMARY
MN
01
—
16-03686
MEDICA CHOICE
MN
01
—
2380614
ARAZ
MN
05
—
34696100
—
WI
01
—
504K5MA
BCBS
MN
05
—
718615100
—
MN
01
—
B681
CHAMPUS
MN
01
—
HP55471
HEALTH PARTNERS
MN
Enumeration date
09/20/2006
Last updated
07/08/2007
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