MEDICARE: CAMERON FOX MD PHD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1568042331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON FOX MD PHD

Provider Business Mailing Address
First Line	:	2800 CAMPUS DR STE 10
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55441-2669
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 CAMPUS DR STE 20
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55441-2669
Country	:	US
Telephone Number	:	763-398-4400
Fax Number	:

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

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	02/06/2026

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Directions to “ CAMERON FOX MD PHD” Practice Location

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