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Individual
FERNANDO A PENA
Active
Individual
FERNANDO A PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
46397
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068306
—
MT
01
—
09-00027
MEDICA PRIMARY
MN
01
—
09-01315
MEDICA CHOICE
MN
01
—
110A6DA
BLUE CROSS BLUE SHIELD
MN
01
—
131110
PREFERRED ONE
MN
01
—
134106
FAIRVIEW
MN
01
—
2033406
ARAZ
MN
05
—
241962900
—
MN
01
—
HP40413
HEALTHPARTNERS
MN
Enumeration date
09/13/2006
Last updated
03/10/2021
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