NPI 1063856094

Danielle Marie Deanovich, DO

Practitioner Pediatrics Physician Stillwater, MN

Practice location

Address: 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040
Phone: (651) 702-1234
Fax: (651) 275-3325
Mailing address: 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 72095 (MN)

Other Pediatrics providers in Minnesota →

Registry record

NPI: 1063856094
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2013
Record last updated: 27 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.