Individual
MATTHEW MICHAEL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 CATLIN ST STE 010, BUFFALO, MN 55313-1947
(763) 682-5225
(763) 684-6111
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(763) 682-1313
(763) 581-9090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15047
MN
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2023
Last updated
03/26/2026
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