Dr SHANNA RACHELLE VIDOR is a female medical professional, specializing in Family Medicine. She graduated in 2011 from University Of North Dakota School Of Medicine.
BOIS FORTE RESERVATION TRIBAL COUNCIL
5219 SAINT JOHN DR
ORR
MN
557718232
Tel: 2187573650
| Npi | 1215229729 |
| Pac Id | 9830349380 |
| Professional Enrollment Id | I20121018000799 |
| Last Name | VIDOR |
| First Name | SHANNA |
| Middle Name | RACHELLE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | BOIS FORTE RESERVATION TRIBAL COUNCIL |
| Group Practice Pac Id | 7517879778 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 5219 SAINT JOHN DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ORR |
| State | MN |
| Zip Code | 557718232 |
| Phone Number | 2187573650 |
| Hospital Affiliation Ccn 1 | 240084 |
| Hospital Affiliation Lbn 1 | ESSENTIA HEALTH VIRGINIA |
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| Professional Accepts Medicare Assignment | Y |
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