JEREMIAH RYAN SHUCK

MINOT, ND
NPI1033739925
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ND  PAC0871)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-21
Last Update Date2023-12-27
Business Address
JEREMIAH RYAN SHUCK
2305 37TH AVE SW
MINOT, ND 58701-7669
Phone number: 701-857-5000
Mailing Address
JEREMIAH RYAN SHUCK
PO BOX 5010
MINOT, ND 58702-5010
Phone number: 701-418-8000