Individual
MEGAN E FASCHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9825 HOSPITAL DR, SUITE 105, MAPLE GROVE, MN 55369-4479
(763) 780-6699
(763) 420-0506
Mailing address
9825 HOSPITAL DR, SUITE 105, MAPLE GROVE, MN 55369-4479
(763) 780-6699
(763) 420-0506
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1931
MN
Other
Enumeration date
07/17/2013
Last updated
09/09/2016
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