Individual
SHANNON NORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1990 CONNECTICUT AVE S STE 100, SARTELL, MN 56377-2554
(320) 257-5595
Mailing address
1990 CONNECTICUT AVE S STE 100, SARTELL, MN 56377-2554
(320) 257-5595
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11203758-1205
UT
2085R0202X
Diagnostic Radiology Physician
2014041577
MO
2085R0202X
Diagnostic Radiology Physician
Primary
66754
MN
Other
Enumeration date
04/03/2013
Last updated
02/12/2020
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