NPI 1215636204

Shelby L Gantzer

Practitioner Specialist Minot, ND

Practice location

Address: 1015 S Broadway STE 18, Minot, ND 58701-4667
Phone: (701) 857-8500
Fax: (701) 857-8555

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in North Dakota →

Registry record

NPI: 1215636204
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2023
Record last updated: 28 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.