Organization
SHOSHANA E. ENGLARD MD PA
Active
Other names
Maplewood Ophthalmology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOSHANA ESTHER ENGLARD-FALCONER M.D. (PHYSICIAN OWNER)
(651) 770-2807
Entity
Organization
Contact information
Practice address
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113-1352
(651) 770-2807
Mailing address
614 PORTLAND AVE, SUITE #108, SAINT PAUL, MN 55102-2223
(651) 770-2807
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28856
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-14714
MEDICA
MN
01
—
109366
CHOICE PLUS
FM
01
—
22262EN
BLUE CROSS SHIELD
MN
01
—
4023
HEALTH PARTNERS
MN
01
—
96333
PREFERRED ONE
MN
01
—
D672
U CARE
MN
01
—
DD4429
RAIL ROAD MEDICARE
MN
Enumeration date
01/04/2007
Last updated
08/22/2020
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