Shannon Nicole Peterson
NPI #1215690177 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1215690177
- Entity Type
- Individual
- Name
- Shannon Nicole Peterson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 18, 2021
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 3300 OAKDALE AVE N
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422
- Phone
- (763) 520-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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