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Individual

PAUL J DONAHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
280 SMITH AVE N STE 500, SAINT PAUL, MN 55102-2463
(651) 968-5420
(651) 222-0956
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904

Taxonomy

Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
30805
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253087200
MN
01
P00355792
RAILROAD MEDICARE
MN
Enumeration date
08/22/2006
Last updated
06/25/2015
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