Individual
JOHN G DAVENPORT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
6490 EXCELSIOR BLVD, SUITE E500, ST LOUIS PARK, MN 55426-4705
(952) 993-7342
Mailing address
6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
29542
MN
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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