institution
Ronald S Mash Pa
Primary Care Clinic/Center in Shakopee, Minnesota
NPI 1104952589

Ronald S Mash Pa is a Primary Care Clinic/Center based in Shakopee, MN and is specialized in Primary Care. Ronald S Mash Pa practices in Shakopee, MN. The NPI Number for Ronald S Mash Pa is 1104952589 and holds a License No. (Minnesota).

The current practice location address for Ronald S Mash Pa is 1240 3Rd Ave E, Shakopee, MN and can be reached out via phone at 952-445-7890 and via fax at 952-445-7893.

Location: 1240 3Rd Ave E, Shakopee, MN, 55379-1679
institution
Provider Profile Details
NPI Number
1104952589
Provider Name
Ronald S Mash Pa
Credential
Provider Entity Type
Organization
Address
1240 3Rd Ave E, Shakopee, MN, 55379-1679
Phone Number
952-445-7890
Fax Number
952-445-7893
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51413SH 01 MN BCBS OF MN
institution
Provider Business Practice Location Address Details
Address
1240 3Rd Ave E
City
State
Zip
55379-1679
Phone Number
952-445-7890
Fax Number
952-445-7893
person
Provider Business Mailing Address Details
Address
1240 3Rd Ave E
City
State
Zip
55379-1679
Phone Number
952-445-7890
Fax Number
952-445-7893
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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