Shane Michael Tetzlaff, D.D.S.
Dentist in Duluth, MN. Individual provider (NPI-1).
NPI number1073432142
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1073432142
- Entity type
- Individual (NPI-1)
- Name
- Shane Michael Tetzlaff
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2026
- Certification date
- Jul 13, 2026
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D15517 | MN | Yes |
Practice location
230 E Superior StDuluth, MN 55802-2118
Phone 218-727-1448
Mailing address
230 E Superior StDuluth, MN 55802-2118
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