Individual
JOHN FEYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7531 W 110TH ST, BLOOMINGTON, MN 55438-2376
(651) 955-6453
Mailing address
7531 W 110TH ST, BLOOMINGTON, MN 55438-2376
(651) 955-6453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208409-5
MN
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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