Shane N Molitor (NPI# 1689816761, PAC ID# 4789724824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1689816761 |
| PAC ID by PECOS | 4789724824 |
| Professional Enrollment ID | I20091221000377 |
| Full Name | Shane N Molitor |
| Address |
317 S 1st St Montgomery MN 56069-1603 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2009 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 317 S 1st St, Montgomery, MN 56069-1603 |
| Street Address |
317 S 1ST ST |
| City | MONTGOMERY |
| State | MN |
| Zip | 56069-1603 |
| City | MONTGOMERY |
| Zip Code | 56069 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MONTGOMERY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Shane N Molitor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.