SHANE MICHAEL AHLSTROM

MEDFORD, OR
NPI1447637467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: OR  MD191421)
Enumeration Date2015-04-28
Last Update Date2019-08-01
Business Address
Dr. SHANE MICHAEL AHLSTROM M.D.
1093 ROYAL CT
MEDFORD, OR 97504-6130
Phone number: 541-773-7273
Mailing Address
Dr. SHANE MICHAEL AHLSTROM M.D.
PO BOX 1705
MEDFORD, OR 97501-0132
Phone number: 541-773-7273
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