Individual
STEVEN E SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1031 103RD ST NE, BOTTINEAU, ND 58318-7008
(701) 480-9300
Mailing address
1031 103RD ST NE, BOTTINEAU, ND 58318-7008
(701) 480-9300
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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