Individual
LINDSAY J. FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 439-5330
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101246524
VA
207P00000X
Emergency Medicine Physician
2012-02324
NC
207P00000X
Emergency Medicine Physician
Primary
60739
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093975708
—
VA
01
—
60739
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
Enumeration date
06/16/2008
Last updated
12/09/2021
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