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1497040638
DERRICK D FENCHEL
MAPLEWOOD, MN
NPI
1497040638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MN 55276)
Enumeration Date
2011-06-16
Last Update Date
2021-05-04
Business Address
DERRICK D FENCHEL MD
1575 BEAM AVE
MAPLEWOOD, MN 55109-1126
Phone number: 651-232-7348
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Mailing Address
DERRICK D FENCHEL MD
2829 UNIVERSITY AVE SE STE 730
MINNEAPOLIS, MN 55414-3279
Phone number: 612-439-1868
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