Dr Reese Robert Shanahan, DC | |
16795 County Road 24, Suite 120, Plymouth, MN 55447-1201 | |
(651) 491-0111 | |
Not Available |
Full Name | Dr Reese Robert Shanahan |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 15 Years |
Location | 16795 County Road 24, Plymouth, Minnesota |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316271984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5329 (Minnesota) | Primary |
Provider Name | Shanahan Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972833119 PECOS PAC ID: 8426189945 Enrollment ID: O20100628000705 |
Mailing Address | Practice Location Address |
---|---|
Dr Reese Robert Shanahan, DC 16795 County Road 24, Suite 120, Plymouth, MN 55447-1201 Ph: (651) 491-0111 | Dr Reese Robert Shanahan, DC 16795 County Road 24, Suite 120, Plymouth, MN 55447-1201 Ph: (651) 491-0111 |
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