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Contact Information

SHAUN MADER, R.T.(T)
7320 YORK AVE S APT 210
EDINA, MN55435-4715
 Phone: 612-598-6936
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Therapy Radiologic Technologist

2471R0002X
Indicates primary specialty

NPI Profile & details for SHAUN MADER · (Male)

NPI Number 1710422803
Status Active
Credentials R.T.(T)
Entity Individual
Enumeration date 12/27/2016
Last updated 12/27/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # CTT-01516
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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