Individual
ELIZABETH DAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2308
(866) 389-2727
Mailing address
4140 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2308
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12990
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/01/2018
Last updated
05/14/2021
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