Individual
THOMAS DENNIS DAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6601 LYNDALE AVE S, STE 220, RICHFIELD, MN 55423-2477
(612) 823-8001
(612) 823-1010
Mailing address
6200 SHINGLE CREEK PKWY, SUITE 260, BROOKLYN CENTER, MN 55430-2128
(763) 561-5349
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22137
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100267C028
UCARE
MN
05
—
114002700
—
MN
01
—
28612DA
BLUE CROSS BLUE SHIELD MN
MN
05
—
30213100
—
WI
01
—
3115014
MEDICA
MN
01
—
33003
PREFERRED ONE
MN
01
—
HP13141
HEALTHPARTNERS
MN
01
—
IM3701
AMERICA'S PPO
MN
Enumeration date
07/21/2006
Last updated
03/11/2021
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