Individual
DAWN MARIE MCGLOTHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E STE 300W, MINNETONKA, MN 55343-4402
(310) 486-7895
Mailing address
105 2ND ST, WINONA LAKE, IN 46590-1117
(310) 486-7895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18550
CA
363LF0000X
Family Nurse Practitioner
Primary
28138471A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28138471A
IN LICENSE
IN
Enumeration date
11/11/2010
Last updated
08/04/2020
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