Individual
SHANE MCWHIRTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14001 RIDGEDALE DR STE 100, MINNETONKA, MN 55305-1781
(952) 473-0211
Mailing address
14001 RIDGEDALE DR STE 100, MINNETONKA, MN 55305-1781
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66652
MN
Other
Enumeration date
08/30/2017
Last updated
11/14/2020
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