# DR. MATTHEW PETER FAHRENKOPF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083028161
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | 4301105284 | MI | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 68099 | MN | Yes |

## Other

- **Enumeration date:** 06/17/2014
- **Last updated:** 11/11/2021