RALPH E FEDOR M.D. NPI 1336149939

NPI Information

NPI: 1336149939
Provider Name: RALPH E FEDOR, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1406 6TH AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 255-5619
Get Directions

Ralph E Fedor, M.D. is a diagnostic radiology radiology in Saint Cloud, MN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Ralph E Fedor, M.D. NPI is 1336149939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1406 6TH AVE N
SAINT CLOUD, MN
ZIP 56303-900
Phone: (320) 255-5619
Fax: (320) 656-7068

The enumeration date for this NPI number is 7/26/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	19700	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54888FE	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	26646	OTHER	MINNESOTA	ARAZ/ AMERICA'S PPO
3	965251008758	OTHER	MINNESOTA	PREFERRED ONE
4	D80238	MEDICARE UPIN	MINNESOTA
5	16-29698	OTHER	MINNESOTA	MEDICA
6	HP25433	OTHER	MINNESOTA	HEALTH PARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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