National Provider Identifier Database

SHANNON M CHRISTOPHERSON, PA-C – NPI #1538138722
Surgical


Contact Information

SHANNON M CHRISTOPHERSON, PA-C
9825 HOSPITAL DR, STE 203
MAPLE GROVE, MN55369
Phone: 763-233-5755
Fax: 763-233-5782
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X
Medical 363AM0700X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for SHANNON M CHRISTOPHERSON

NPI Number 1538138722
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/17/2006
Last updated 08/15/2025 - About 10 months ago
Sole proprietor1 No
Identifiers
  • MN License #: 10098
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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