Individual provider · Type 1 NPI

Shane M. Meyer, PA-C

Surgical Physician Assistant · Fargo, ND

NPI number 1154675577 Active

Practice location

1720 University Dr S
Fargo, ND 58103-4940

Call (701) 234-2251 Map

Fax (701) 234-2050

Mailing address

PO Box 2168
Fargo, ND 58107-2168

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPAC0508 (ND)

Surgical Physician Assistant: Definition to come...

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About NPI 1154675577

Shane M. Meyer, PA-C's National Provider Identifier is 1154675577, issued on Nov 7, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fargo, ND. The record was last updated on Nov 7, 2012.