IndividualActive
Marcus Fearing
NPI 1154984904 · Sports Medicine (Family Medicine) Physician · Saint Paul, MN
Provider details
- NPI number
- 1154984904
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 82695-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone: (952) 831-8742
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516
Additional practice locations (2)
- 3901 Rainbow BlvdKansas City, KS 66160-8500Phone: (913) 588-1902
- 155 Radio DrWoodbury, MN 55125-2619Phone: (952) 831-8742
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2023-09-21
- Certified
- 2023-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.