Mcgannon, Maria

Mcgannon, Maria is an individual health care provider with primary practice located at 17705 Hutchins Dr Suite 101, Minnetonka MN 55345-4145. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mcgannon, Maria can be contacted via phone (952) 401-8300.

Contact Information

Primary practice address
17705 Hutchins Dr Suite 101 Minnetonka MN 55345-4145
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R1085503 Minnesota

Profile Details

NPI number 1265418875
LBN Legal business name Mcgannon, Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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