Individual
KIRK ANTHONY SHIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 FRANCE AVE S, SUITE 200, EDINA, MN 55435-2137
(952) 920-2200
(950) 920-0866
Mailing address
6565 FRANCE AVE S, SUITE 200, EDINA, MN 55435-2137
(952) 920-2200
(950) 920-0866
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36419
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063065900
—
MN
Enumeration date
11/21/2005
Last updated
04/28/2020
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