Individual
DONOVAN POHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
18432 KENRICK AVE, LAKEVILLE, MN 55044-9288
(952) 993-8800
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9493
MN
363AM0700X
Medical Physician Assistant
5500
AZ
Other
Enumeration date
05/25/2006
Last updated
03/11/2021
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