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1124077912
CHARLES B DONOVAN
EDINA, MN
NPI
1124077912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MN 48603)
Enumeration Date
2006-05-09
Last Update Date
2018-06-28
Business Address
CHARLES B DONOVAN MD
7505 METRO BLVD STE 400
EDINA, MN 55439
Phone number: 612-573-2200
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Mailing Address
CHARLES B DONOVAN MD
7505 METRO BLVD STE 400
EDINA, MN 55439-3010
Phone number: 612-573-2200
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