Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE M. TSUBAKI, PA-C
ActiveMR. SHANE M. TSUBAKI, PA-C is a Physician Assistant healthcare provider located in BLAINE, Minnesota. NPI 1336309384 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLAINE, MN
Registration Details
- NPI Number
- 1336309384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2008 (18.144276076096 yrs)
- Last Updated
- Dec 10, 2025
Practice Information
- Address
-
1500 109TH AVE NEBLAINE, MN, 554494670Browse MN providers · Browse ZIP 55449
- Phone
- 8663892727
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLAINE, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN W STOULIL | PAC | 1104800358 |
| RICHARD B HATHAWAY | PAC | 1710961966 |
| CYNTHIA S JANSEN | PAC | 1457335044 |
| MICHELLE MANOS | PA-C | 1760539746 |
| TIFFANY S HALL | PA-C | 1205012424 |
| MS. RACHEL LYNN ENGE | PA-C | 1861787343 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.