Individual
DONNA MARIE SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9059
MN
363AM0700X
Medical Physician Assistant
9059
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301521100
—
MN
Enumeration date
07/22/2006
Last updated
07/31/2025
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