Individual
MICHAEL J DAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, MC 11503L, SAINT PAUL, MN 55101-2502
(651) 254-5701
(651) 254-1519
Mailing address
2025 WOODLANE DR, WOODBURY, MN 55125-2987
(651) 492-6762
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
46702
MN
Other
Enumeration date
08/23/2006
Last updated
12/18/2018
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