Provider Demographics
NPI:1174695464
Name:SINIBALDI, DONNA MARIE (PA-C)
Entity type:Individual
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First Name:DONNA
Middle Name:MARIE
Last Name:SINIBALDI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2 CARLSON PKWY N
Mailing Address - Street 2:STE 240
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-4485
Mailing Address - Country:US
Mailing Address - Phone:763-746-0030
Mailing Address - Fax:763-367-7977
Practice Address - Street 1:1001 CHESTERFIELD PKWY E
Practice Address - Street 2:SUITE 101
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-2167
Practice Address - Country:US
Practice Address - Phone:314-878-3839
Practice Address - Fax:314-878-6575
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2018-10-31
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Provider Licenses
StateLicense IDTaxonomies
MO2013037117363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant