| Doctor Name: | FERNANDO J PARTIDA RUESSGA |
| NPI Number: | 1427043512 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 028626 |
| Business Practice Address: | 14135 Cedar Ave Ste 300 Apple Valley, MN - 551244522 |
| Business Phone Number: | 9524319655 |
| Business Fax Number: | 9524319651 |
| Mailing Address: | 8055 173rd St W, LAKEVILLE |
| State: | MN |
| Postal Code: | 550449541 |
| Phone Number: | 9529855258 |
| Fax Number: | 9524319651 |
| NPI Enumeration Date: | 09/14/2005 |
| NPI Last Update Date: | 03/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 028626 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |