John G Davenport
NPI #1205810488 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1205810488
- Entity Type
- Individual
- Name
- John G Davenport
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Dec 1, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6490 EXCELSIOR BLVD
- Address 2
- SUITE E500
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-4705
- Phone
- (952) 993-7342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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