SHAN LIANG DANG DONOVAN

SAINT PAUL, MN
NPI1144018466
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-04-28
Last Update Date2025-04-28
Business Address
SHAN LIANG DANG DONOVAN
3900 BETHEL DR
SAINT PAUL, MN 55112-6902
Phone number: 320-232-5030
Mailing Address
SHAN LIANG DANG DONOVAN
26485 2ND ST E APARTMENT 302
ZIMMERMAN, MN 55398-7564
Phone number: 320-232-5030
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