Individual
PETER J DONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1313
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29741
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
663783300
—
MN
Enumeration date
04/14/2006
Last updated
12/30/2011
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