Shannon Marie Ristau
NPI #1881764876 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1881764876
- Entity Type
- Individual
- Name
- Shannon Marie Ristau
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2115 SUMMIT AVE
- Address 2
- LORAS HALL 406
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55105-1048
- Phone
- (503) 396-2896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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