Individual
DR. DAVID MARTIN FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 741-3340
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
66819
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
07/28/2020
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