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Individual

DR. ERIC RYAN FENSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., MSC

Contact information

Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 855-5280
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51907
MN
207RC0000X
Cardiovascular Disease Physician
Primary
51907
MN

Other

Enumeration date
08/01/2008
Last updated
05/08/2025
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