Individual
SHANNA MICHELLE MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MMC 293, MINNEAPOLIS, MN 55455-0341
(612) 625-7634
Mailing address
1591 WOODLYNN AVE UNIT 2, MAPLEWOOD, MN 55109-5709
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18033
MN
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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