Individual
DR. STEVEN JOHN FUGLESTAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(763) 271-2248
(763) 271-2890
Mailing address
2755 COUNTY ROAD 19, MAPLE PLAIN, MN 55359-9659
(763) 479-3684
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32490
MN
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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