Individual
MARK DANAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 403-3000
Mailing address
PO BOX 46100, PLYMOUTH, MN 55446-0100
(763) 553-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51685
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS PROVIDER NUMBER
NC
05
—
PENDING
—
NC
Enumeration date
07/10/2006
Last updated
01/25/2010
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