Fuglestad, Edson Vercel

Fuglestad, Edson Vercel is an individual health care provider with primary practice located at 6341 University Ave Ne , Fridley MN 55432-4946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fuglestad, Edson Vercel can be contacted via phone (763) 572-5710.

Contact Information

Primary practice address
6341 University Ave Ne Fridley MN 55432-4946
Phone: (763) 572-5710
Fax: (763) 586-5888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15811 Minnesota

Profile Details

NPI number 1407818016
LBN Legal business name Fuglestad, Edson Vercel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407818016 NPPES
Minnesota Other 1000846 PREFERRED ONE
Minnesota Other 107289 PREFERRED ONE
Minnesota Other 6603881 PREFERRED ONE
Minnesota Other 4044532 PREFERRED ONE
Minnesota Other 0108771 PREFERRED ONE
Minnesota Other 1692254 PREFERRED ONE
Minnesota Other 66G04FU PREFERRED ONE
Minnesota Other HP36120 PREFERRED ONE

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