Individual
COURTNEY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
914 S 8TH ST, S100, MINNEAPOLIS, MN 55404-1210
(612) 347-5871
Mailing address
914 S 8TH ST, MINNEAPOLIS, MN 55404-1210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10020
MN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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