Dr. Daniel Shibru, MD
Surgery in Minneapolis, MN. Individual provider (NPI-1).
NPI number1679708697
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1679708697
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel Shibru
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2009
- Last updated
- Feb 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | A85654 | CA | Yes |
| 208C00000X | Colon & Rectal Surgery | A85654 | CA |
Practice location
333 Oak Grove StApt 211
Minneapolis, MN 55403-4004
Phone 510-282-9145
Mailing address
1524 Woolsey StApt A
Berkeley, CA 94703-2368
Phone 510-282-9145
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