DR. Carl John Fedyszyn, M.D.

NPI #1528207156 in Sartell, Minnesota

Provider Information

NPI Number: 1528207156
Entity Type: Individual
Name: DR. Carl John Fedyszyn, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Feb 4, 2009
Last Updated: Dec 3, 2012

Practice Location

Address: 166 19TH ST S
Address 2: SUITE #201
City: Sartell
State: Minnesota
ZIP Code: 56377-4654
Phone: (320) 259-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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