Individual
SHELBY PIEPHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-6590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12986
MN
Other
Enumeration date
03/29/2019
Last updated
09/19/2022
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