Individual
SHANNON L KLINGSPORN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1099 HELMO AVE N, SUITE 100, OAKDALE, MN 55128-6033
(651) 326-5300
(651) 326-5350
Mailing address
1099 HELMO AVE N, SUITE 100, OAKDALE, MN 55128-6033
(651) 326-5300
(651) 326-5350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40034
MN
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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