Individual
SHANNA M BUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1217 8TH ST N, NEW ULM, MN 56073-1552
(507) 233-1000
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
39934
MN
208000000X
Pediatrics Physician
Primary
MD161094
OR
Other
Enumeration date
08/16/2006
Last updated
02/28/2023
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