Individual
DAVID E FUGLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8559 EDINBROOK PKWY, STE 100, BROOKLYN PARK, MN 55443-3747
(763) 425-1888
Mailing address
8559 EDINBROOK PKWY, STE 100, BROOKLYN PARK, MN 55443-3747
(763) 425-1888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33521
MN
Other
Enumeration date
10/06/2006
Last updated
07/13/2007
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