HomeNPI Verification

NPI Verification

National Provider Identifier: 1124645064

Shelby Rae Bucholz, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1000 CONEY ST W

PERHAM, MN 565732102

Phone: 218-347-1200

NPI Enumeration Date

June 26, 2020

NPI Number

1124645064

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry