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Contact Information

SHANNON M MACKEY BOJACK, MD
333 SMITH AVE N
ROOM 4625
SAINT PAUL, MN55102-2344
 Phone: 651-241-5568
 Fax: 651-241-7114
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SHANNON M MACKEY BOJACK · (Female)

NPI # 1194745174
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 02/27/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 43421
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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