Individual
SHELBY ANN GAWARECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 894-8403
Mailing address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 894-8403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14932
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/18/2024
Last updated
11/08/2024
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