Miranda Fassbender's National Provider Identifier (NPI) Details
Miranda Fassbender,
NPI: 1356681308
Enumeration Date: 2013-02-27
Last updated: 2019-02-11
Sole Proprietor: YES
Status: active
Postal Address: 2265 COMO AVE, SAINT PAUL, MN
Phone: 651-645-5323
Primary Practice Address: 230 DERONDA ST, AMERY, MN
Practice's phone: 715-268-8000