Individual
MARK A SHANFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36199
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829867
MEDICA
—
01
—
1011211
PREFERREDONE
—
01
—
28645
NDBCBS
ND
05
—
693363700
—
MN
01
—
HP57665
HEALTHPARTNERS
—
Enumeration date
01/31/2007
Last updated
11/21/2011
Update your record
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