Individual
SHELLY ANN WINSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15700 37TH AVE N STE 300, PLYMOUTH, MN 55446-3661
(612) 871-1145
(612) 870-5491
Mailing address
2734 HURON ST, ROSEVILLE, MN 55113-1842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13222
MN
Other
Enumeration date
09/02/2006
Last updated
06/28/2021
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