Individual
JESSIE CHRISTINE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 W 140TH ST, SUITE 201, BURNSVILLE, MN 55337-4480
(952) 898-6300
(952) 898-6035
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10831
MN
Other
Enumeration date
09/01/2010
Last updated
08/15/2012
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