Individual
ROBERT FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Mailing address
800 MEDICAL CENTER DR, PO BOX 800, FAIRMONT, MN 56031-4575
(507) 238-8555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38613
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T97FE
BLUE CROSS
MN
05
—
00T97FE
—
MN
05
—
120141
—
MN
01
—
17-01033
MEDICA
MN
01
—
22694
SIOUX VALLEY
MN
01
—
705220
ARAZ
MN
01
—
7424
AVERA
MN
05
—
89026000
—
MN
05
—
976373
—
IA
01
—
A022
CHAMPUS
MN
01
—
HP30144
HEALTHPARTNERS
MN
01
—
MH9041010113
PREFERREDONE
MN
Enumeration date
12/23/2005
Last updated
07/09/2007
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