Individual provider · Type 1 NPI

Maria Victoria Polanco, PHYSICIAN ASSISTANT

Physician Assistant · Shakopee, MN

NPI number 1467439455 Active

Practice location

1601 Saint Francis Ave Ste 100
Shakopee, MN 55379-3384

Fax (952) 428-3599

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 1415 Saint Francis Ave, Shakopee, MN 55379-3374 · (952) 993-7750

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9327 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

22 other providers at this address

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About NPI 1467439455

Maria Victoria Polanco, PHYSICIAN ASSISTANT's National Provider Identifier is 1467439455, issued on Dec 29, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shakopee, MN. The record was last updated on Jul 15, 2025.