Individual
STEVEN B VANDONSELAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7400 FRANCE AVE S STE 100, EDINA, MN 55435-4738
(763) 537-6000
(763) 537-6666
Mailing address
4131 W LOOMIS RD STE 300, GREENFIELD, WI 53221-2059
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9499
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213628700
—
MN
Enumeration date
02/15/2006
Last updated
07/21/2022
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