Individual
DR. RONALD MASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1240 3RD AVE E, SUITE 9, SHAKOPEE, MN 55379-1679
(952) 445-7890
(952) 445-7893
Mailing address
1240 3RD AVE E, SUITE 9, SHAKOPEE, MN 55379-1679
(952) 445-7890
(952) 445-7893
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1641
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21992MA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/11/2006
Last updated
11/21/2007
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