Individual
SHANNON FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BILLARS ST, SCOTLAND, SD 57059-2026
(605) 583-2226
Mailing address
309 E 17TH AVE, TYNDALL, SD 57066-2228
(605) 933-1681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
12/03/2025
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