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Darell Matthew Shaffer, M.D.

Psychiatry & Neurology, Psychiatry in Anoka, MN. Individual provider (NPI-1).

NPI number1154491900
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154491900
Entity type
Individual (NPI-1)
Name
Darell Matthew Shaffer
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 9, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry39693MNYes

Practice location

3301 7th Ave
Anoka, MN 55303-4516

Phone 763-712-4020 · Fax 763-712-4013

Mailing address

3301 7th Ave
Anoka, MN 55303-4516

Phone 763-712-4020 · Fax 763-712-4013

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