Individual
DAVID A DASSENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
PO BOX 47159, PLYMOUTH, MN 55447-0159
(763) 559-3779
(763) 450-3986
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
25521
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983267000
—
MN
Enumeration date
06/06/2006
Last updated
12/27/2010
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