Individual
MARCUS DONAL FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 14TH ST NE STE A, BUFFALO, MN 55313-2966
(763) 684-3880
Mailing address
PO BOX 1005, ANNANDALE, MN 55302-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7030
MN
Other
Enumeration date
09/14/2006
Last updated
01/02/2020
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