SearchMinnesota103TC0700X

Mark Fastner, MA LP

NPI 1942278577 · on the registry since 2006

Practice

Address
1811 Weir Drive
Suite 355 Mail Stop 13701a
Woodbury, MN 55125
Phone
(651) 730-6151
Fax
(651) 730-1700
Organisation at this address
Genoa Healthcare Llc
Platinum Homecare, Llc
Lindahl Family Dental Pa
Abode Hospice And Homecare Of Mn, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
111

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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