CHARLES RAYMOND SHIDEMAN

SAINT PAUL, MN
NPI1841466026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: MN  54992)
Enumeration Date2008-05-07
Last Update Date2017-10-03
Business Address
CHARLES RAYMOND SHIDEMAN M.D., PH.D.
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-2039
Mailing Address
CHARLES RAYMOND SHIDEMAN M.D., PH.D.
7401 METRO BLVD STE 210
EDINA, MN 55439-3086
Phone number: 952-920-4915
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