SHAUN FERNANDES

SAINT CLOUD, MN
NPI1548640436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MN  63942)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IA  R-10247)
Enumeration Date2015-06-04
Last Update Date2022-01-31
Business Address
Mr. SHAUN FERNANDES MD
1200 6TH AVE N
SAINT CLOUD, MN 56303-2735
Phone number: 320-240-2100
Mailing Address
Mr. SHAUN FERNANDES MD
1200 6TH AVE N
SAINT CLOUD, MN 56303-2735
Phone number: 320-240-2100