Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 4242 | ND |
Y | 208600000X | Surgeon | 4242 | ND |
N | 2086S0129X | Vascular Surgeon | 4242 | ND |
NPI | 1023189172 |
---|---|
Provider Name | Frank E Shipley |
First Address | Minot, ND 58702-5010 |
Second Address | Minot, ND 58701-3880 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2006 |
Last Update Date | 24/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13175 | (05) | ND |
D26290 | (02) |