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Contact Information

EDUARDO W FERNANDEZ, MD
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN55110
 Phone: 651-653-2100
 Fax: 651-653-2125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EDUARDO W FERNANDEZ · (Male)

NPI Number 1336348218
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 56869
  • MO Medicaid 204466007
Hospital affiliation(s)
  • REGIONS HOSPITAL - (Acute Care)
    640 JACKSON STREET
    SAINT PAUL, MN 55101
  • ST LUKES HOSPITAL - (Acute Care)
    915 EAST 1ST STREET
    DULUTH, MN 55805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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