Individual
SHAUN MADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.(T)
Contact information
Practice address
7320 YORK AVE S APT 210, EDINA, MN 55435-4715
(612) 598-6936
Mailing address
7320 YORK AVE S, #210, EDINA, MN 55435-4741
(612) 598-6936
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
CTT-01516
AZ
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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