Individual
MS. MAISY MONICA SANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6525 FRANCE AVE. S., SUITE 200, EDINA, MN 55435
(952) 927-6501
(952) 922-1623
Mailing address
6525 FRANCE AVE. S., SUITE 200, EDINA, MN 55435
(952) 927-6501
(952) 922-1623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10302
MN
Other
Enumeration date
10/05/2007
Last updated
05/12/2014
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