SHANE M MEYER

FARGO, ND
NPI1154675577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ND  PAC0508)
Enumeration Date2012-11-07
Last Update Date2012-11-07
Business Address
-- SHANE M MEYER PA-C
1720 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-234-2251
Mailing Address
-- SHANE M MEYER PA-C
PO BOX 2168
FARGO, ND 58107-2168
Phone number: 701-234-2119
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