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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 Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHANNON M CHRISTOPHERSON · (Female)

NPI # 1538138722
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/17/2006
Last updated 08/15/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 10098
Hospital affiliation(s) Not Available
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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