Shannon Borer PA-C

NPI 1740337773 - Physician Assistant - 363AM0700X

NPI Details
NPI 1740337773
Gender Male
Enumeration Date 01/04/2007
Last Updated 11/14/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
4801 VETERANS DR
SAINT CLOUD MN, 56303-2015, US
Phone (320) 255-6480
Fax
Business Location
4801 VETERANS DR
SAINT CLOUD MN, 56303-2015, US
Phone (320) 255-6480
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Minnesota
License Number 10152
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According to our database, Shannon Borer PA-C NPI is 1740337773, taxonomy code is 363AM0700X and license number is 10152, license state is located at Minnesota. Shannon Borer PA-C physically located at 4801 Veterans Dr, Saint Cloud MN, 56303-2015. NPI Number Shannon Borer PA-C has the Individual type.

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1740337773 NPI number is provided on an as is basis without warranty of any kind. 1740337773 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Borer PA-C are for informational purposes only.