Shannon Jean Wesley, M.D.

NPI #1336219328 in Cloquet, Minnesota

Provider Information

NPI Number: 1336219328
Entity Type: Individual
Name: Shannon Jean Wesley, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Nov 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 512 SKYLINE BLVD
Address 2: COMMUNITY MEMORIAL HOSPITAL
City: Cloquet
State: Minnesota
ZIP Code: 55720
Phone: (218) 879-4641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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