Shannon Wagner
Shannon Wagner is a Physician Assistant in Arden Hills, Minnesota. Qualified in 2025, 1 year ago. Practices with North Clinic PA, a 49-clinician group and accepts Medicare assignment.
- Years since qualifying
- 1
- In the registry since
- 2024
Practice location Address checks out
2 Pine Tree DrArden Hills, MN 55112-3754
Phone: (651) 635-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1255188389 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 6, 2024 |
| Last updated in NPPES | May 6, 2024 |
| Certification date | May 6, 2024 |
| Mailing address | 4401 Abbott Ave N, Robbinsdale, MN 55422-1416 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | North Clinic Pa — 49 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Arden Hills
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Christopher John Schmidt
2 Pine Tree Dr, Arden Hills, MN 55112-3754 · (651) 635-8000
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Braden Robert Stromberg
2 Pine Tree Dr, Arden Hills, MN 55112-3754 · (651) 635-8000
-
David Tschida
2 Pine Tree Dr, Arden Hills, MN 55112-3754 · (651) 635-8000
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Grace Kennidy Virtue
2 Pine Tree Dr, Arden Hills, MN 55112-3754 · (651) 635-8000