Individual
DR. JUDITH FRANCES SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 PEAVEY LN, WAYZATA, MN 55391-1525
(952) 476-0950
(952) 404-0804
Mailing address
330 PEAVEY LN, WAYZATA, MN 55391-1525
(925) 476-0950
(952) 404-0804
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28211
MN
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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