MR. Shane Merchant, PA-C
NPI #1689001166 in Tyndall, South Dakota
Provider Information
- NPI Number
- 1689001166
- Entity Type
- Individual
- Name
- MR. Shane Merchant, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 30, 2013
- Last Updated
- Aug 25, 2020
Practice Location
- Address
- 410 W 16TH AVE
- City
- Tyndall
- State
- South Dakota
- ZIP Code
- 57066-2318
- Phone
- (605) 589-2188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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