Individual
DR. MICHAEL JAY SHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2621 E LAKE ST, MINNEAPOLIS, MN 55406-1925
(612) 722-8554
(612) 722-1041
Mailing address
2621 E LAKE ST, MINNEAPOLIS, MN 55406-1925
(612) 722-8554
(612) 722-1041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2251
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30340SH
BLUE CROSS/BLUE SHIELD
MN
05
—
768527100
—
MN
Enumeration date
07/18/2007
Last updated
11/06/2008
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