Individual provider · Type 1 NPI

Pauline A. Fedunok, PA-C

Surgical Physician Assistant · Minneapolis, MN

NPI number 1932205408 Active

Practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Mailing address

420 Delaware Street, SE, Mayo Bldg, Mmc B537
Minneapolis, MN 55455

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X11377 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1932205408

Pauline A. Fedunok, PA-C's National Provider Identifier is 1932205408, issued on Sep 15, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 16, 2023.