SHANNON NICOLE PETERSON

ROBBINSDALE, MN
NPI1215690177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14422)
Enumeration Date2021-10-18
Last Update Date2023-07-12
Business Address
SHANNON NICOLE PETERSON
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Phone number: 763-520-5200
Mailing Address
SHANNON NICOLE PETERSON
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Phone number: 763-520-5200