CHARLES RAYMOND SHIDEMAN M.D., PH.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1841466026- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D., PH.D.
- Status
- Active
Contact & Location
- Address
- 640 JACKSON ST, SAINT PAUL, MN, 551012502
- Phone
- (651) 254-2039
- Fax
- (651) 254-9333
Specialties & Taxonomies
Unknown
Primary License: MN #54992