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Justin Shedivy
NPI 1174807333 · on the registry since 2011
Practice
- Address
- 1900 Silver Lake Rd Nw
Suite 110
New Brighton, MN 55112 - Phone
- (651) 628-9566
- Organisation at this address
- Genoa Healthcare Llc
Nystrom & Associates, Ltd
Nystrom & Associates, Ltd
Nystrom & Associates, Ltd
Nystrom & Associates, Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 259
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Sex
- Male
- Record last updated
- 2011-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota