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Individual

SAMUEL T FEYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Mailing address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12829
MN
363A00000X
Physician Assistant
MN

Other

Enumeration date
09/04/2018
Last updated
07/10/2019
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