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SHANNON WALLACK, CRNA

CRNA

Certified Registered Nurse Anesthetist

NPI: 1255578068IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Anesthetist, Certified Registered

Code: 367500000X

517(MN)

Registered Nurse

Code: 163W00000X

1524268(MN)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2008

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Contact & Hours

Address
2525 Chicago Ave
Minneapolis, MN 55404

Quick Facts

NPI
1255578068
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
3
Years in Practice
18

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