DR. CARL JOHN FEDYSZYN M.D. - NPI 1528207156 - Family Medicine in Sartell, MN

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Dr. Carl John Fedyszyn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARL JOHN FEDYSZYN M.D. (NPI 1528207156) is an individual family medicine provider in Sartell, Minnesota, licensed in North Dakota (7326) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1528207156

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CARL JOHN FEDYSZYNCredential: M.D.

Location Address166 19TH ST S, SUITE #201Sartell, MN 56377-4654

Mailing Address166 19th St S, Suite #201Sartell, MN 56377-4654 · (320) 259-1405 · Fax (320) 259-5896

Phone(320) 259-1405

Fax(320) 259-5896

Sole ProprietorNo

Enumeration DateFebruary 4, 2009

Last NPPES UpdateDecember 3, 2012

✔ NPI 1528207156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ND · 7326✔ Licensed in AZ · 37093✔ Licensed in WA · MD00048363✔ Licensed in ID · M-9986

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

166 19TH ST S, Sartell, MN 56377

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