MR. SHANNON NELSON, OTR

General Acute Care Hospital

Active Individual
NPI: 1104029388

Practice Address

HIGHWAY 1 BOX 497
Red Lake, MN 56671

Phone: (218) 679-3316

Specialties

Specialty Code Primary License
General Acute Care Hospital 282N00000X Yes 102239 (MN)

Frequently Asked Questions

NPI 1104029388 is the National Provider Identifier for MR. SHANNON NELSON, OTR, a General Acute Care Hospital provider located in Red Lake, MN. This NPI was enumerated on June 6, 2007.
MR. SHANNON NELSON, OTR practices at HIGHWAY 1 BOX 497, Red Lake, MN 56671.

Quick Facts

NPI
1104029388
Type
Individual
Enumerated
Jun 6, 2007
Last Updated
Jul 8, 2007

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