Mark Shea
NPI 1932665403 · on the registry since 2019
Practice
- Address
- 17242 Horizon Trl Se
Prior Lake, MN 55372 - Phone
- (612) 380-8301
- Organisation at this address
- Freedom Transportation, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-20
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