Individual
DR. JEFF SHORTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6055 NATHAN LN N STE 200, PLYMOUTH, MN 55442-1675
(763) 463-4400
Mailing address
6055 NATHAN LN N STE 200, PLYMOUTH, MN 55442-1675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119199
MN
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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