MARCUS FEARING
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1154984904- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 435 PHALEN BLVD, SAINT PAUL, MN, 551305302
- Phone
- (952) 831-8742
Specialties & Taxonomies
Family Medicine, Sports Medicine
License: WI #82695-20
Student in an Organized Health Care Education/Training Program
Family Medicine, Sports Medicine
Primary License: MN #75119
All Addresses
MAILING
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN, 554254516