Individual
FERNANDO A PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2512 S 7TH ST, FIRST FLOOR, R-102, MINNEAPOLIS, MN 55454-1404
(612) 273-9400
Mailing address
420 DELAWARE STREET SE, MMC 292, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-9400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
46397
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068306
—
MT
01
—
09-00027
MEDICA PRIMARY
MN
01
—
09-01315
MEDICA CHOICE
MN
01
—
110A6DA
BLUE CROSS BLUE SHIELD
MN
01
—
131110
PREFERRED ONE
MN
01
—
134106
FAIRVIEW
MN
01
—
2033406
ARAZ
MN
05
—
241962900
—
MN
01
—
HP40413
HEALTHPARTNERS
MN
Enumeration date
09/13/2006
Last updated
03/10/2021
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