Individual
MRS. DAWN MARIE COUDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 N SMITH AVE, ST PAUL, MN 55102-3723
(612) 863-6590
Mailing address
800 E 28TH ST, MR 11112, MINNEAPOLIS, MN 55407
(612) 863-6590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11332
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11332
LICENSE
MN
Enumeration date
03/29/2013
Last updated
03/11/2021
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