Omar Fernandes, PA-C, MSPAS, MPH

NPI #1568960292 in Eagan, Minnesota

Provider Information

NPI Number: 1568960292
Entity Type: Individual
Name: Omar Fernandes, PA-C, MSPAS, MPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MSPAS, MPH
Enumeration Date: Jan 29, 2018
Last Updated: Mar 17, 2021

Practice Location

Address: 1654 DIFFLEY RD STE 100
City: Eagan
State: Minnesota
ZIP Code: 55122-2237
Phone: (651) 641-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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