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NPI Profile for FAIRMONT ORTHOPEDICS SPORTS MEDICINE PA in FAIRMONT, MN.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Licensed Practical Nurse |
164W00000X | |||
Podiatric |
261QP1100X | |||
VA |
261QV0200X |
| NPI Number | 1134173644 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/20/2006 | |
| Last updated | 03/26/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FAIRMONT ORTHOPEDICS & SPORTS MEDICINE, PA
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FAIRMONT ORTHOPEDICS & SPORTS MEDICINE, PA