Individual
DAWN MARIE FUGLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455
(612) 273-3000
(612) 273-4370
Mailing address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(126) 273-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MN
Other
Enumeration date
03/09/2015
Last updated
07/25/2018
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