AUSTIN FOURNIER

DULUTH, MN
NPI1740912096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14814)
Additional Taxonomies363A00000X Physician Assistant
(Licence: WI  7776-23)
Enumeration Date2022-06-27
Last Update Date2024-03-12
Business Address
AUSTIN FOURNIER
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-727-8762
Mailing Address
AUSTIN FOURNIER
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: