NPI 1003604836

Mackenzie Rayne Fannin, DO

Practitioner Family Medicine Physician Rochester, MN

Practice location

Address: 200 1st St SW, Rochester, MN 55905-0001
Phone: (507) 284-2511
Mailing address: PO Box 860912, Minneapolis, MN 55486-0912

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 83351 (MN)

Other Family Medicine providers in Minnesota →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 35139 (MN)

Registry record

NPI: 1003604836
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2025
Record last updated: 30 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.