MR. Shane M. Tsubaki, PA-C

NPI #1336309384 in Blaine, Minnesota

Provider Information

NPI Number: 1336309384
Entity Type: Individual
Name: MR. Shane M. Tsubaki, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 12, 2008
Last Updated: Dec 10, 2025

Practice Location

Address: 1500 109TH AVE NE
City: Blaine
State: Minnesota
ZIP Code: 55449-4670
Phone: (866) 389-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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