IndividualActive
Shane Meyer, PA-C
NPI 1154675577 · Surgical Physician Assistant · Fargo, ND
Provider details
- NPI number
- 1154675577
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PAC0508 (ND)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1720 University Dr S
Fargo, ND 58103-4940
Phone: (701) 234-2251
Fax: (701) 234-2050
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2168
Fargo, ND 58107-2168
Registry dates
- Enumerated
- 2012-11-07
- Last updated
- 2012-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.