Individual
EMMA GRACE FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6000
Mailing address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
76930-20
WI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
76622
MN
Other
Enumeration date
03/18/2019
Last updated
07/08/2024
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