Individual provider · Type 1 NPI

Michael J. Shaw

Gastroenterology Physician · St. Louis Park, MN

NPI number 1063499663 Active

Practice location

3800 Park Nicollet Blvd, Park Nicollet Clinic - Gastro
St. Louis Park, MN 55416-2527

Fax (952) 993-1865

Mailing address

6465 Wayzata Blvd, Ste 315
St. Louis Park, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician Primary 207RG0100X25905 (MN)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1063499663

Michael J. Shaw's National Provider Identifier is 1063499663, issued on Dec 27, 2005. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 6, 2012.