Individual
DR. ANDREW F FEDOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
800 E 28TH ST STE 1750, MINNEAPOLIS, MN 55407-3723
(612) 863-4495
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
LP6140
MN
Other
Enumeration date
07/17/2017
Last updated
10/28/2021
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