Individual
LAURA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
3365 PLYMOUTH BLVD., SUITE 110, PLYMOUTH, MN 55446
(612) 486-4200
Mailing address
3365 PLYMOUTH BLVD., SUITE 110, PLYMOUTH, MN 55446
(612) 486-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1861
MN
Other
Enumeration date
02/04/2013
Last updated
08/06/2016
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