EDSON VERCEL FUGLESTAD

FRIDLEY, MN
NPI1407818016
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  15811)
Enumeration Date2006-04-06
Last Update Date2007-07-08
Business Address
DR. EDSON VERCEL FUGLESTAD M.D.
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432-4946
Phone number: 763-572-5710
Mailing Address
DR. EDSON VERCEL FUGLESTAD M.D.
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432-4341
Phone number: 763-572-5710
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