Briana Russell
Physician Assistant in Shakopee, MN(View on Map)
Full Name
Briana Russell
NPI Number
1487411757
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/04/2024
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
14809
Contact
Information
Purpose
Mailing
Location
Address
13167 22ND ST N
4201 DEAN LAKES BLVD STE 120
City
Stillwater
Shakopee
State
MN
MN
Postal Code
55082-2529
55379-2850
Country
US
US
Telephone Number
(651) 528-2885
(952) 496-6700
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/04/2024
Provider Address
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