JAIME DE LA FUENTE MD
Individual Provider (NPI-1)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1447614086- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1185 TOWN CENTRE DR STE 205, EAGAN, MN, 551231370
- Phone
- (612) 871-1145
- Fax
- (612) 870-5491
Specialties & Taxonomies
Internal Medicine, Gastroenterology
Primary License: MN #62505
Internal Medicine
License: MN #1447614086