Mark Shea is a Driver based in Prior Lake, MN. Mark Shea practices in Prior Lake, MN. The NPI Number for Mark Shea is 1932665403 and holds a License No. T010234994001 (Minnesota).
The current practice location address for Mark Shea is 17242 Horizon Trl Se, Prior Lake, MN and can be reached out via phone at 612-380-8301.
Location: 17242 Horizon Trl Se, Prior Lake, MN, 55372-3939
Provider Profile Details
NPI Number
1932665403
Provider Name
Mark Shea
Credential
Provider Entity Type
Individual
Gender
Male
Address
17242 Horizon Trl Se, Prior Lake, MN, 55372-3939
Phone Number
612-380-8301
Fax Number
Provider Enumeration Date
02/20/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
17242 Horizon Trl Se
City
State
Zip
55372-3939
Phone Number
612-380-8301
Fax Number
Provider Business Mailing Address Details
Address
17242 Horizon Trl Se
City
State
Zip
55372-3939
Phone Number
612-380-8301
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
T010234994001 (Minnesota)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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