Healthcare Provider Details

I. General information

NPI: 1831533868
Provider Name (Legal Business Name): DEANNA MARIE DOWNS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2013
Last Update Date: 07/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 BEAM AVE ST JOHN'S HOSPITAL MEDICINE SERVICE
MAPLEWOOD MN
55109-1126
US

IV. Provider business mailing address

1575 BEAM AVE ST JOHN'S HOSPITAL MEDICINE SERVICE
MAPLEWOOD MN
55109-1126
US

V. Phone/Fax

Practice location:
  • Phone: 651-232-7000
  • Fax:
Mailing address:
  • Phone: 715-927-3728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number58009
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: