SHANE D NYGARD

SANFORD HEALTH OF NORTHERN MINNESOTA

Dr SHANE D NYGARD is a male medical professional, specializing in Family Medicine. He graduated in 1985 from University Of North Dakota School Of Medicine.

Contact

SANFORD HEALTH OF NORTHERN MINNESOTA

110 7TH ST W
PARK RAPIDS
MN
564701872

Tel: 2186993121

SHANE D NYGARD Information

Npi 1053403485
Pac Id 6608903901
Professional Enrollment Id I20180126001997
Last Name NYGARD
First Name SHANE
Middle Name D
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SANFORD HEALTH OF NORTHERN MINNESOTA
Group Practice Pac Id 5597725168
Number Of Group Practice Members 189
Line 1 Street Address 110 7TH ST W
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PARK RAPIDS
State MN
Zip Code 564701872
Phone Number 2186993121
Hospital Affiliation Ccn 1 240100
Hospital Affiliation Lbn 1 SANFORD MEDICAL CENTER BEMIDJI
Hospital Affiliation Ccn 2 241380
Hospital Affiliation Lbn 2 ST JOSEPHS AREA HEALTH SERVICES
Hospital Affiliation Ccn 3 350011
Hospital Affiliation Lbn 3 SANFORD MEDICAL CENTER FARGO
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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