Female

Donna M. Shorter PA-C

Medical Physician Assistant in Bemidji, MN(View on Map)

Full Name

Donna Marie Shorter PA-C

NPI Number

1013938232

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/22/2006

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

9059

Contact
Information

Purpose

Mailing
Location

Address

1233 34TH ST NW
1233 34TH ST NW

City

Bemidji
Bemidji

State

MN
MN

Postal Code

56601-5112
56601-5112

Country

US
US

Telephone Number

(218) 333-5000
(218) 333-5000

Identifiers

Identifier

301521100

Identifier State

MN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/29/2008

Provider Address

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