Individual
MRS. MICHELLE MARIE DOUVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9145 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5885
(612) 871-1145
(612) 870-5491
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10291
MN
Other
Enumeration date
06/08/2007
Last updated
11/09/2020
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