Healthcare Provider Details

I. General information

NPI: 1003551946
Provider Name (Legal Business Name): REBEKAH MORGAN FIERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 HART BLVD STE 100
MONTICELLO MN
55362-8929
US

IV. Provider business mailing address

1700 HIGHWAY 25 N
BUFFALO MN
55313-1930
US

V. Phone/Fax

Practice location:
  • Phone: 763-682-1313
  • Fax: 763-581-9090
Mailing address:
  • Phone: 763-682-1313
  • Fax: 763-581-9090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number74972
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: