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1457935058

NPI Code Detail

MEDICARE: DAVID MARSHALL FELLER MD

MEDICARE: DAVID MARSHALL FELLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	71945	MN
2	207L00000X	Anesthesiology Physician	71945	MN
3	207R00000X	Internal Medicine Physician	31563	MN

General Provider Information

NPI Number	:	1457935058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MARSHALL FELLER MD

Provider Business Mailing Address
First Line	:	PO BOX 860912
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55486-0912
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2021
Last Update Date	:	04/14/2026

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Directions to “ DAVID MARSHALL FELLER MD” Practice Location

Language	Start Address	Practice Location

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