Individual
SHANNON L DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
D65414
MD
2085R0202X
Diagnostic Radiology Physician
Primary
CDRH.0046558
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412852400
—
MD
Enumeration date
05/03/2007
Last updated
08/11/2025
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