Chase Walter Shutak MD

NPI 1811332844 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1811332844
Gender Male
Enumeration Date 05/03/2013
Last Updated 05/03/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
2450 RIVERSIDE AVE
M-136 RIVERSIDE EAST BUILDING, MAYO MAIL CODE 950
MINNEAPOLIS MN, 55454-1450, US
Phone (612) 624-4477
Fax (612) 626-7042
Business Location
2450 RIVERSIDE AVE
M-136 RIVERSIDE EAST BUILDING, MAYO MAIL CODE 950
MINNEAPOLIS MN, 55454-1450, US
Phone (612) 624-4477
Fax (612) 626-7042
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Chase Walter Shutak MD NPI is 1811332844, taxonomy code is 390200000X Chase Walter Shutak MD physically located at 2450 Riverside Ave, Minneapolis MN, 55454-1450. NPI Number Chase Walter Shutak MD has the Individual type.

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1811332844 NPI number is provided on an as is basis without warranty of any kind. 1811332844 is maintained by the National Plan & Provider Enumeration System. The contents of Chase Walter Shutak MD are for informational purposes only.