Most Relevant Information
Provider Data
| NPI Number: | 1003295726 |
| Provider Name: | DAVID SHRAKE D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/27/2015 |
| Last Updated: | 11/10/2020 |
Provider Practice Location
8675 VALLEY CREEK RD
WOODBURY
MN
551252337
Practice Location Phone/Fax
| Phone: | 6512413000 |
| Fax: |
Provider Mailing Location
8675 VALLEY CREEK RD
WOODBURY
MN
551252337
Provider Mailing Phone/Fax
| Phone: | 6512413000 |
| Fax: |