Individual
DONALD A PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17821 HWY 7, PARK NICOLLET CLINIC-MINNETONKA, MINNETONKA, MN 55345-4186
(952) 993-2900
(952) 993-2910
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-6450
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21253
MN
Other
Enumeration date
12/02/2005
Last updated
11/02/2011
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