Deanovic, Desiree

Deanovic, Desiree is an individual health care provider with primary practice located at 300 State Ave , Faribault MN 55021-6319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Deanovic, Desiree can be contacted via phone (507) 333-3300.

Contact Information

Primary practice address
300 State Ave Faribault MN 55021-6319
Phone: (507) 333-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13767 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 13767 Minnesota

Profile Details

NPI number 1932871910
LBN Legal business name Deanovic, Desiree
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2021
Last updated Oct 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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