Individual
SHAN LIANG DANG DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 BETHEL DR, SAINT PAUL, MN 55112-6902
(320) 232-5030
Mailing address
26485 2ND ST E, APARTMENT 302, ZIMMERMAN, MN 55398-7564
(320) 232-5030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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