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Individual

SHANNON LYNN GONNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4565-23
WI
363A00000X
Physician Assistant
Primary
9510
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-17276
MEDICA CHOICE
MN
01
1043769
ARAZ
MN
01
127848
UCARE
MN
05
288675800
MN
01
77R94GO
BCBS
MN
01
HP40903
HEALTHPARTNERS
MN
Enumeration date
07/06/2006
Last updated
05/04/2026
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