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Individual

DR. CHASE WALTER SHUTAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
2530 CHICAGO AVE STE 309, MINNEAPOLIS, MN 55404-4289
(612) 813-6107
Mailing address
2530 CHICAGO AVE STE 390, MINNEAPOLIS, MN 55404-4289
(612) 813-6107

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60339
MN

Other

Enumeration date
05/03/2013
Last updated
05/04/2017
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