Individual
ERIN FEDDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415
(734) 904-9795
Mailing address
8804 DALLAS LN N, MAPLE GROVE, MN 55369-9266
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
08/02/2018
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