Individual
MS. SHANNON M CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9825 HOSPITAL DR, STE 203, MAPLE GROVE, MN 55369
(763) 233-5755
(763) 233-5782
Mailing address
8301 GOLDEN VALLEY RD, STE 200, GOLDEN VALLEY, MN 55427
(763) 233-5755
(763) 233-5782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10098
MN
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
10098
MN
Other
Enumeration date
03/17/2006
Last updated
08/15/2025
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