Ronan, Shawn M.

Ronan, Shawn M. is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd , St Louis Park MN 55416-2527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Ronan, Shawn M. can be contacted via phone (952) 993-1000.

Contact Information

Primary practice address
3800 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2007-00903 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301082323 Michigan
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 54273 Wisconsin
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 61616 Minnesota

Profile Details

NPI number 1386762227
LBN Legal business name Ronan, Shawn M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated May 29th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386762227 NPPES
North Carolina MEDICAID 5907098

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