Individual
SONJA SUE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3305 CENTRAL PARK VILLAGE DR STE 200, EAGAN, MN 55121-7707
(651) 406-8860
Mailing address
4315 JESSICA CT, EAGAN, MN 55123-2611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41239
MN
Other
Enumeration date
05/04/2006
Last updated
09/20/2018
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