Individual provider · Type 1 NPI

Shannon Borer, PA-C

Medical Physician Assistant · St. Cloud, MN

NPI number 1740337773 Active

Practice location

4801 Veterans Dr
St. Cloud, MN 56303-2015

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10152 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1740337773

Shannon Borer, PA-C's National Provider Identifier is 1740337773, issued on Jan 4, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Cloud, MN. The record was last updated on Nov 14, 2011.