Individual
MR. SHAUN FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 240-2100
(320) 240-2834
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 240-2100
(320) 240-2834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63942
MN
207R00000X
Internal Medicine Physician
R-10247
IA
Other
Enumeration date
06/04/2015
Last updated
01/31/2022
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