Individual
JEAN K FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 30TH AVENUE WEST, ALEXANDRIA CLINIC PA, ALEXANDRIA, MN 56308
(320) 763-5123
(320) 763-7883
Mailing address
610 30TH AVENUE WEST, ALEXANDRIA CLINIC PA, ALEXANDRIA, MN 56308
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24716
MN
Other
Enumeration date
01/18/2006
Last updated
04/11/2008
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