Individual
MANJUN FENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-9300
Mailing address
628 LAKE PINE DR, SHOREVIEW, MN 55126-1256
(651) 356-9247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13225
MN
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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