MR. Shane Wesley Clemens

NPI #1811142086 in Saginaw, Minnesota

Provider Information

NPI Number
1811142086
Entity Type
Individual
Name
MR. Shane Wesley Clemens
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Dec 1, 2008
Last Updated
Dec 1, 2008

Practice Location

Address
7609 ALBERT RD
ZIP Code
55779-9676
Phone
(218) 390-6415

Specialties & Taxonomy Codes

Specialty
Contractor

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