Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 38330 | MN |
Y | 2086S0105X | Surgery of the Hand | 38330 | MN |
N | 2086S0105X | Surgery of the Hand | ME143822 | FL |
NPI | 1609849298 |
---|---|
Provider Name | Alexander Y Shin |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 03/01/2022 |