Individual
DR. MICHAEL JED FUHRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6600 FRANCE AVE S, SUITE 145, MINNEAPOLIS, MN 55435-1805
(952) 928-9003
(952) 928-2000
Mailing address
6600 FRANCE AVE S, SUITE 145, MINNEAPOLIS, MN 55435-1805
(952) 928-9003
(952) 928-2000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP0877
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218L2FU
BCBS INDIVIDUAL PROVIDER
MN
Enumeration date
05/21/2007
Last updated
07/09/2007
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