Individual
JONATHAN D CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
775 PRAIRIE CENTER DR STE 250, EDEN PRAIRIE, MN 55344-7334
(952) 944-5314
Mailing address
3225 DUPONT AVE S, MINNEAPOLIS, MN 55408-3513
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
3022
MN
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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