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Riley Fernan, DO
Family Medicine Physician in St Louis Park, Minnesota
NPI 1619473592

Riley Fernan is a Family Medicine Physician based in Bloomington, MN. Riley Fernan practices in St Louis Park, MN and has the professional credentials of DO. The NPI Number for Riley Fernan is 1619473592 and holds a License No. (Minnesota).

The current practice location address for Riley Fernan is 1665 Utica Ave S, St Louis Park, MN and can be reached out via phone at 952-541-2500.

Location: 1665 Utica Ave S, St Louis Park, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619473592
Provider Name
Riley Fernan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1665 Utica Ave S, St Louis Park, MN, 55425-4516
Phone Number
952-541-2500
Fax Number
Provider Enumeration Date
04/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1665 Utica Ave S
City
St Louis Park
State
Minnesota
Zip
55416-3474
Phone Number
952-541-2500
Fax Number
person
Provider Business Mailing Address Details
Address
1665 Utica Ave S
City
St Louis Park
State
Minnesota
Zip
55416-3474
Phone Number
952-541-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
69812 (Minnesota)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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