Individual
WARREN DAVID SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 OLSEN BLVD NE, COKATO, MN 55321-4359
(320) 286-2123
(320) 286-6194
Mailing address
2925 CHICAGO AVE, AFFILIATED COMMUNITY MEDICAL CENTERS, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32510
MN
Other
Enumeration date
04/26/2006
Last updated
11/10/2020
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