DR. Shane Byrn Richardson, M.D.

NPI #1659710374 in Cloquet, Minnesota

Provider Information

NPI Number: 1659710374
Entity Type: Individual
Name: DR. Shane Byrn Richardson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 15, 2013
Last Updated: Jan 29, 2019

Practice Location

Address: 927 TRETTEL LN
City: Cloquet
State: Minnesota
ZIP Code: 55720-1345
Phone: (218) 879-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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