NPI 1386054039

Mitchell Davis

Practitioner Perfusionist Chaska, MN

Practice location

Address: 111312 Village Rd, Chaska, MN 55318-1385
Phone: (650) 321-9999

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence Q307148741310 (CA)

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Registry record

NPI: 1386054039
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2014
Record last updated: 4 May 2014

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.