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Individual
THOMAS DENNIS DAVIN
Active
Individual
THOMAS DENNIS DAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22137
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100267C028
UCARE
MN
05
—
114002700
—
MN
01
—
28612DA
BLUE CROSS BLUE SHIELD MN
MN
05
—
30213100
—
WI
01
—
3115014
MEDICA
MN
01
—
33003
PREFERRED ONE
MN
01
—
HP13141
HEALTHPARTNERS
MN
01
—
IM3701
AMERICA'S PPO
MN
Enumeration date
07/21/2006
Last updated
03/11/2021
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