Individual
JOHN M FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 636-9443
(651) 265-7363
Mailing address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 636-9443
(651) 265-7363
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
68571
MN
2081P0010X
Pediatric Rehabilitation Medicine Physician
68571
MN
Other
Enumeration date
05/21/2014
Last updated
12/07/2023
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