Individual
MARIA MCGANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17705 HUTCHINS DR, SUITE 101, MINNETONKA, MN 55345-4145
(952) 401-8300
Mailing address
17705 HUTCHINS DR, MINNETONKA, MN 55345-4145
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1085503
MN
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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