Individual
DR. CHRISTOPHER DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
2312 S 6TH ST STE F256, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55454-1336
(612) 273-8700
Mailing address
2312 S 6TH ST STE F256, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55454-1336
(612) 273-9800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4589
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492966
—
MT
05
—
0716076
—
IA
01
—
1044585
PREFERRED ONE
MN
01
—
136425
UCARE
MN
01
—
2378189
ARAZ
MN
01
—
503K3DO
BCBS
MN
01
—
HP55119
HEALTHPARTNERS
MN
Enumeration date
06/30/2006
Last updated
07/09/2007
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