Individual
MS. SHANNON ELIZABETH DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
1997 SLOAN PL STE 17, MAPLEWOOD, MN 55117-2051
(651) 772-6251
(651) 294-9616
Mailing address
2854 HIGHWAY 55 STE 130, EAGAN, MN 55121-1776
(651) 224-4930
(651) 842-3391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37336
MN
207RN0300X
Nephrology Physician
39336
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134823000
—
MN
Enumeration date
04/28/2006
Last updated
10/25/2022
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