Individual
DONALDSON WRIGHT KINGSLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 993-7750
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44346
MN
Other
Enumeration date
04/25/2008
Last updated
03/02/2012
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