MS. Maisy Monica Sanneman, PA-C

NPI #1013105907 in Edina, Minnesota

Provider Information

NPI Number: 1013105907
Entity Type: Individual
Name: MS. Maisy Monica Sanneman, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 5, 2007
Last Updated: May 12, 2014

Practice Location

Address: 6525 FRANCE AVE. S.
Address 2: SUITE 200
City: Edina
State: Minnesota
ZIP Code: 55435
Phone: (952) 927-6501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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