Individual
DR. NAOMI FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8100 W 78TH ST STE 100, EDINA, MN 55439-2529
(952) 914-8100
(952) 914-8101
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
11/10/2020
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