MS. Kathryn Susan Eisenmenger Fuentes, PA

NPI #1306149539 in Eagan, Minnesota

Provider Information

NPI Number: 1306149539
Entity Type: Individual
Name: MS. Kathryn Susan Eisenmenger Fuentes, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 9, 2010
Last Updated: Dec 13, 2010

Practice Location

Address: 2854 HIGHWAY 55
Address 2: SUITE 130
City: Eagan
State: Minnesota
ZIP Code: 55121-2156
Phone: (651) 842-3320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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