Individual
HAYLEY I SHELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
166 19TH STREET SOUTH, SUITE 100, SARTELL, MN 56377-2154
(320) 251-0609
(320) 251-3806
Mailing address
PO BOX 1450 NW 6035, MINNEAPOLIS, MN 55485-6035
(952) 542-8553
(952) 513-6857
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
23386
AL
2085R0202X
Diagnostic Radiology Physician
Primary
51537
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932385
—
AL
05
—
009932395
—
AL
05
—
009932405
—
AL
05
—
009937349
—
AL
01
—
010033CH91600
SECTION 1011
AL
01
—
051515820
BLUE CROSS
AL
05
—
051515820
—
AL
01
—
051515821
BLUE CROSS
AL
01
—
051515822
BLUE CROSS
AL
01
—
051515823
BLUE CROSS
AL
01
—
051534541
BLUE CROSS
AL
01
—
8909562
MISSISSIPPI MEDICAID
MS
01
—
P00058043
RAILROAD MEDICARE
AL
Enumeration date
07/14/2006
Last updated
08/20/2024
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