Individual
SHANNON ELIZABETH HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(952) 967-7977
(651) 254-9673
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 967-7977
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
107670
MN
207R00000X
Internal Medicine Physician
Primary
58355
MN
208M00000X
Hospitalist Physician
58355
MN
Other
Enumeration date
04/05/2011
Last updated
12/24/2020
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