Individual
MARK A SHANFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
Mailing address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
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
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