Individual
SHANNON JO PARKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15350 ENGLISH AVE, APPLE VALLEY, MN 55124-6252
(952) 431-8500
(952) 431-6966
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-4950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45472
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552432600
—
MN
Enumeration date
01/30/2006
Last updated
10/31/2024
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