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Individual

DR. CARL JOHN FEDYSZYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
166 19TH ST S, SUITE #201, SARTELL, MN 56377-4654
(320) 259-1405
(320) 259-5896
Mailing address
166 19TH ST S, SUITE #201, SARTELL, MN 56377-4654
(320) 259-1405
(320) 259-5896

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37093
AZ
207Q00000X
Family Medicine Physician
Primary
7326
ND
207Q00000X
Family Medicine Physician
M-9986
ID
207Q00000X
Family Medicine Physician
MD00048363
WA

Other

Enumeration date
02/04/2009
Last updated
12/03/2012
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