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Joel Shanahan
NPI 1831562123 · on the registry since 2015
Practice
- Address
- 7830 Main St N
Ste 225
Maple Grove, MN 55369 - Phone
- (763) 400-7275
- Fax
- (763) 400-7273
- Organisation at this address
- St Croix Hospice Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-02
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