SHANNA VIDOR, M.D.

Family Medicine

Active Individual
NPI: 1215229729

Practice Address

5219 ST JOHN DRIVE
Nett Lake, MN 55772

Phone: (218) 757-3295

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 55689 (MN)

Frequently Asked Questions

NPI 1215229729 is the National Provider Identifier for SHANNA VIDOR, M.D., a Family Medicine provider located in Nett Lake, MN. This NPI was enumerated on May 3, 2011.
SHANNA VIDOR, M.D. practices at 5219 ST JOHN DRIVE, Nett Lake, MN 55772.

Quick Facts

NPI
1215229729
Type
Individual
Enumerated
May 3, 2011
Last Updated
Jun 18, 2020

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