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1053403485
SHANE D NYGARD
PARK RAPIDS, MN
NPI
1053403485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ND 5382)
Enumeration Date
2006-09-30
Last Update Date
2018-02-28
Business Address
SHANE D NYGARD MD
110 7TH ST W
PARK RAPIDS, MN 56470-1872
Phone number: 218-699-3121
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Mailing Address
SHANE D NYGARD MD
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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