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Individual

SHAWN S EVERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1665 UTICA AVE S STE 100, ST LOUIS PARK, MN 55416-3476
(952) 541-2500
(952) 541-2539
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46503
WI
207Q00000X
Family Medicine Physician
Primary
50398
MN

Other

Enumeration date
03/01/2006
Last updated
08/18/2021
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