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Shawn Disterhaupt
NPI 1942996087 · on the registry since 2023
Practice
- Address
- 606 Front St
Brainerd, MN 56401 - Phone
- (218) 232-6247
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-12
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