Shana M Mccracken, PA-C

NPI #1013246545 in Wyoming, Minnesota

Provider Information

NPI Number: 1013246545
Entity Type: Individual
Name: Shana M Mccracken, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 11, 2009
Last Updated: May 1, 2017

Practice Location

Address: 5200 FAIRVIEW BLVD
City: Wyoming
State: Minnesota
ZIP Code: 55092-8013
Phone: (651) 982-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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