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Samuel Fedo, ATC
NPI 1639131279 · on the registry since 2006
Practice
- Address
- 501 E Nicollet Blvd
Suite 100
Burnsville, MN 55337 - Phone
- (952) 460-4900
- Fax
- (952) 460-4901
- Organisation at this address
- Fairview Clinics
Total Renal Care IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 40
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-02-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota