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Individual

DR. CARLOS HERNANDEZ FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6545 FRANCE AVE S, SUITE 689, EDINA, MN 55435-2131
(952) 927-7095
(952) 927-9594
Mailing address
6545 FRANCE AVE S, SUITE 689, EDINA, MN 55435-2131
(952) 927-7095
(952) 927-9594

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20321
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0421661
MEDICA
MN
01
0N069FE
BLUE CROSS BLUE SHIELD
MN
05
2036079
MN
Enumeration date
09/04/2006
Last updated
11/30/2007
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