Individual
DAWN M DEBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1155 E COUNTY ROAD, SUITE 100, VADNAIS HEIGHTS, MN 55110
(651) 241-9200
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9524
MN
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201098400
—
MN
Enumeration date
07/16/2006
Last updated
03/25/2021
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