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Individual

SEREEN DANIELLE SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3605 MAYFAIR AVENUE, HIBBING, MN 55746
(218) 262-3441
(218) 362-6989
Mailing address
3605 MAYFAIR AVENUE, HIBBING, MN 55746
(218) 262-3441
(218) 362-6989

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51441
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18671
RESIDENCY PERMIT
MN
Enumeration date
07/14/2008
Last updated
09/13/2013
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