Individual
SHANNON MARIE GUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1200
Mailing address
43077 COUNTY HIGHWAY 53, NEW YORK MILLS, MN 56567-9364
(218) 371-5555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12331
MN
Other
Enumeration date
11/22/2016
Last updated
03/19/2019
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