Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 14226 | MN |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 14226 | MN |
NPI | 1275764748 |
---|---|
Provider Name | Peter Eilert Fehr |
First Address | Minneapolis, MN 55422-2326 |
Second Address | Minneapolis, MN 55422-2326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2009 |
Last Update Date | 01/08/2009 |