Individual
WESAN SHANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-2437
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13017
MN
363A00000X
Physician Assistant
5601007900
MI
363A00000X
Physician Assistant
C06465
MD
Other
Enumeration date
08/25/2016
Last updated
05/24/2021
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