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Individual

MS. SHANNON NICOLE BAILEY NOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3955 PARKLAWN AVE, SUITE 200, EDINA, MN 55435-5655
(951) 831-2388
Mailing address
3955 PARKLAWN AVE, SUITE 200, EDINA, MN 55435-5655
(951) 831-2388

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56209
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/12/2010
Last updated
12/19/2013
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