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Individual

JESSE FUHRER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
414 W JEFFERSON AVE, MAHNOMEN, MN 56557-4912
(763) 689-5385
Mailing address
13140 150TH AVE SE, SAINT HILAIRE, MN 56754-9777

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6861
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
214P2FU
BCBS
MN
01
6405708
MEDICA
MN
01
HP53868
HEALTH PARTNERS
MN
Enumeration date
09/26/2006
Last updated
07/09/2007
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