Individual
MS. JOAN MARIE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Mailing address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9051
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-13458
MEDICA ONAMIA CLINIC
MN
01
—
01-13465
MEDICA HILLMAN
MN
01
—
01-13466
MEDICA ISLE
MN
01
—
06F16SH
BLUE CROSS HOSPITAL
MN
01
—
115811
UCARE
MN
01
—
18358
MEDICAID
ND
01
—
485T0SH
BLUE CROSS CLINIC
MN
05
—
831785200
—
MN
01
—
HP20623
HEALTH PARTNERS
MN
01
—
NA9091004444
PREFERED ONE
MN
Enumeration date
02/17/2006
Last updated
09/05/2014
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