Individual
MARCUS FEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(952) 831-8742
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
75119
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
82695-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
09/21/2023
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