Provider Demographics
NPI:1962464545
Name:ASP, DONALD S (MD)
Entity Type:Individual
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First Name:DONALD
Middle Name:S
Last Name:ASP
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1690 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE 460
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3723
Mailing Address - Country:US
Mailing Address - Phone:651-232-2002
Mailing Address - Fax:651-232-2031
Practice Address - Street 1:1690 UNIVERSITY AVE W
Practice Address - Street 2:SUITE 460
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3723
Practice Address - Country:US
Practice Address - Phone:651-232-2002
Practice Address - Fax:651-232-2031
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN16916207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNB58594Medicare UPIN