person
Charles B Donovan, MD
Diagnostic Radiology Physician in Edina, Minnesota
NPI 1124077912

Charles B Donovan is a Diagnostic Radiology Physician based in Edina, MN and is specialized in Diagnostic Radiology. Charles B Donovan practices in Edina, MN and has the professional credentials of MD. The NPI Number for Charles B Donovan is 1124077912 and holds a License No. 48603 (Minnesota).

The current practice location address for Charles B Donovan is 7505 Metro Blvd Ste 400, Edina, MN and can be reached out via phone at 612-573-2200 and via fax at 612-573-2274.

Location: 7505 Metro Blvd Ste 400, Edina, MN, 55439-3010
person
Provider Profile Details
NPI Number
1124077912
Provider Name
Charles B Donovan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7505 Metro Blvd Ste 400, Edina, MN, 55439-3010
Phone Number
612-573-2200
Fax Number
612-573-2274
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2443230 01 MN AMERICA'S PPO
505P3DO 01 MN BLUE CROSS BLUE SHIELD
HP63008 01 MN HEALTHPARTNERS
99112184 01 WI WI HEALTH INSURANCE RISK SHARING PLAN
0721050 05 IA
16-04146 01 MN MEDICA
252817 01 MN MIDLANDS CHOICE INC
1046956 01 MN PREFERRED ONE
9103415 01 MN PHCS/MULTIPLAN
P00327700 01 MN RAILROAD MEDICARE MN
133042 01 MN UCARE
P00327697 01 WI RAILROAD MEDICARE WI
34864100 05 WI
621966700 05 MN
institution
Provider Business Practice Location Address Details
Address
7505 Metro Blvd Ste 400
City
State
Zip
55439
Phone Number
612-573-2200
Fax Number
612-573-2274
person
Provider Business Mailing Address Details
Address
7505 Metro Blvd Ste 400
City
State
Zip
55439
Phone Number
612-573-2200
Fax Number
612-573-2274
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
48603 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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