Individual
DEVON HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
(952) 977-3459
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR0055730
CO
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
71268
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
MD182843
OR
390200000X
Student in an Organized Health Care Education/Training Program
TL0005033
CO
Other
Enumeration date
06/02/2014
Last updated
05/25/2022
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