Fasen, Geoffrey S.

Fasen, Geoffrey S. is an individual health care provider with primary practice located at 2945 Hazelwood St Ste 100 , Maplewood MN 55109-1242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Fasen, Geoffrey S. can be contacted via phone (651) 227-6351.

Contact Information

Primary practice address
2945 Hazelwood St Ste 100 Maplewood MN 55109-1242
Phone: (651) 227-6351
Fax: (651) 227-1134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101258324 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 54101 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1316259708
LBN Legal business name Fasen, Geoffrey S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2010
Last updated Jan 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers