Shauna Marissa Pankratz

NPI #1528353711 in Spring Lake Park, Minnesota

Provider Information

NPI Number: 1528353711
Entity Type: Individual
Name: Shauna Marissa Pankratz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 15, 2011
Last Updated: Jun 15, 2011

Practice Location

Address: 8232 HIGHWAY 65 NE
City: Spring Lake Park
State: Minnesota
ZIP Code: 55432-2095
Phone: (763) 577-1877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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