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NPI Code Detail

MEDICARE: DR. SHELDON JAY SEGAL M.D.

MEDICARE: DR. SHELDON JAY SEGAL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician15372MN

General Provider Information

NPI Number : 1184990319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELDON JAY SEGAL M.D.
Provider Business Mailing Address
First Line : 9901 OAK RIDGE TRL
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-4648
Country : US
Telephone Number : 952-933-3737
Fax Number :
Provider Business Practice Location Address
First Line : 9901 OAK RIDGE TRL
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-4648
Country : US
Telephone Number : 952-933-3737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2012
Last Update Date : 04/02/2012

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Directions to “ DR. SHELDON JAY SEGAL M.D.” Practice Location

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