Individual
CLARENCE SHUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21067
MN
207RC0000X
Cardiovascular Disease Physician
23991
AZ
207RC0000X
Cardiovascular Disease Physician
4207
SD
Other
Enumeration date
01/03/2006
Last updated
04/26/2018
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