Michael J Shaw

NPI #1063499663 in St Louis Park, Minnesota

Provider Information

NPI Number
1063499663
Entity Type
Individual
Name
Michael J Shaw
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Dec 27, 2005
Last Updated
Jul 6, 2012

Practice Location

Address
3800 PARK NICOLLET BLVD
Address 2
PARK NICOLLET CLINIC - GASTRO
ZIP Code
55416-2527
Phone
(952) 993-3240

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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