Individual
DR. SIMON NICHOLAS FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 EMERSON AVE E, SAINT PAUL, MN 55118-2535
(651) 241-1800
Mailing address
PO BOX 43, MR 10860, MINNEAPOLIS, MN 55440
(612) 262-1166
(612) 262-9035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49982
MN
Other
Enumeration date
06/24/2006
Last updated
01/12/2023
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