Individual
DR. SHANDA RAE DORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 LEXINGTON AVE N STE C, SHOREVIEW, MN 55126-5964
(651) 756-9595
(651) 340-8529
Mailing address
PO BOX 270653, VADNAIS HEIGHTS, MN 55127-0653
(651) 756-9595
(651) 340-8529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52481
MN
207Q00000X
Family Medicine Physician
70139-20
WI
Other
Enumeration date
04/23/2008
Last updated
12/22/2020
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