Individual provider · Type 1 NPI
Shane Wallin
Medical Art Specialist/Technologist · San Diego, CA
NPI number
1104282177
Active
Practice location
1968 Garnet Ave
San Diego, CA 92109-3555
Other practice locations
- 3073 Jefferson St, Napa, CA 94558-4921 · (619) 942-9737
- 4933 34th Ave S, Minneapolis, MN 55417-1503 · (619) 942-9737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Art Specialist/Technologist Primary | 246ZA2600X | 310143 (MN) |
Medical Art Specialist/Technologist: None
Another provider at this address
Other medical art specialist/technologist providers in San Diego
About NPI 1104282177
Shane Wallin's National Provider Identifier is 1104282177, issued on Jan 6, 2016. The primary taxonomy on file is Medical Art Specialist/Technologist (246ZA2600X), and the practice location is in San Diego, CA. The record was last updated on Jul 3, 2025.