Individual
DR. ANGELA FASNACHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15650 CEDAR AVE, FAIRVIEW CLINIC APPLE VALLEY, APPLE VALLEY, MN 55124
(952) 997-4100
Mailing address
15650 CEDAR AVE, FAIRVIEW CLINIC APPLE VALLEY, APPLE VALLEY, MN 55124
(952) 997-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55405
MN
Other
Enumeration date
04/23/2010
Last updated
10/10/2013
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